Active NPI
John R Evans, D.P.T.
- Physical Therapist
- Atlasburg, PA
National Provider Identifier
1639247257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018414
- Practice address
- 1569 Smith Township
State Road Suite 2
Atlasburg, PA 15004 - Phone
- (724) 947-9999
- Fax
- (724) 947-2291
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018414 | PA | Primary |
Addresses
Primary practice location
1569 Smith Township
State Road Suite 2
Atlasburg, PA 15004
Mailing address
1569 Smith Township
State Road Suite 2
Atlasburg, PA 15004
Phone (724) 947-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550712141 | Other | PA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639247257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 SMITH TOWNSHIP",
"address_2": "STATE ROAD SUITE 2",
"city": "ATLASBURG",
"state": "PA",
"postal_code": "15004",
"telephone_number": "724-947-9999",
"fax_number": "724-947-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 SMITH TOWNSHIP",
"address_2": "STATE ROAD SUITE 2",
"city": "ATLASBURG",
"state": "PA",
"postal_code": "15004",
"telephone_number": "724-947-9999",
"fax_number": "724-947-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "550712141",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlasburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.