Evan Barnes

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1337352 Issued in TX

Practice address

7909 Pat Booker Rd
Live Oak, TX 78233-2602

Phone

(210) 653-2400

Fax

(210) 653-2422

NPI assigned

Oct 29, 2020

Last updated

Apr 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Medicine Associates of San Antonio, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Antonio, TX
  • NPI 1861549503

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ideal Physical Therapy of Texas LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment NPD
• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Helotes, TX
  • NPI 1871990275
  Medicare reassignment NPD
• Texas Physical Therapy Specialists, Inc.

  dba Texas Physical Therapy Specialists

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  Medicare reassignment NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD
• Sports Medicine Associates of San Antonio, PA

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1568280808
  NPD
• Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1568049484
  NPD
• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Tampa, FL
  • NPI 1609243328
  NPD
• Sports Medicine Associates of San Antonio, PA

  dba Center for Physical Therapy & Sports Performance

  • Physical Therapist
  • San Antonio, TX
  • NPI 1609124312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1629678685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR BLDG 402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401480",
            "telephone_number": "106-532-4222",
            "fax_number": "210-653-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 PAT BOOKER RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332602",
            "telephone_number": "210-653-2400",
            "fax_number": "210-653-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 W Camp Wisdom Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750522216",
            "country_code": "US",
            "telephone_number": "469-460-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1337352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Baker Hickerson, PHARMACIST
• Mary Willow Baker, DNP
• Eric Matthew Banik, PT, DPT
• Kenae Banks
• Caitlin Sage Barboza, M.S. CCC-SLP
• Kellan Robert Barry
• Wendall Bauman, M.D.
• Irina Bazan
• BBR Anesthesia
• Lauren Maritza Bell, RBT

• Physical Therapist in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.