Active NPI
Jennifer Joy Evans, PT, OCS
- Physical Therapist
- Fort Carson, CO
National Provider Identifier
1659499457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9001
- Practice address
- 1650 Cochrane Cir
BLDG 7503, Room 3236
Fort Carson, CO 80913-4613 - Phone
- (719) 526-7604
- NPI assigned
- Mar 27, 2007
- Last updated
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9001 | CO | |
| Physical Therapist | 225100000X | 9001 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Cir
BLDG 7503, Room 3236
Fort Carson, CO 80913-4613
Mailing address
CMR 467 Box 5824
Apo, AE 09096-0059
Phone (303) 229-7352
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9001 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Englewood, CO
- NPI 1265550313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1659499457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "CMR 467 BOX 5824",
"city": "APO",
"state": "AE",
"postal_code": "090960059",
"telephone_number": "303-229-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"address_2": "BLDG 7503, ROOM 3236",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "719-526-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JENNIFER",
"middle_name": "JOY",
"credential": "PT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "9001",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "9001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
- Evans Army Community Hospital (Ebh Team 1-Ft. Carson)
- Evans Army Community Hospital
- Evans Army Community Hospital (Ebh Team 5-Ft. Carson)
- Evans Army Community Hospital
- Evans Army Community Hospital Pediatric Clinic
- Nakiera Evans, MD
- Rachel Erin Evans, LCSW
- Remedios Evans
- Evansarmycommunityhospital
- Maribi PR Evborokhai, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.