Active NPI
Helen Evans, PT, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1679008304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT293004
- Practice address
- 11901 Santa Monica Blvd Ste 201-202
Los Angeles, CA 90025-2767 - Phone
- (310) 479-2323
- Fax
- (310) 479-2329
- NPI assigned
- May 1, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT293004 | CA | Primary |
Addresses
Primary practice location
11901 Santa Monica Blvd Ste 201-202
Los Angeles, CA 90025-2767
Mailing address
1821 Wilshire Blvd
Suite 400
Santa Monica, CA 90403-5618
Phone (310) 828-2188
Other practice location 1
1821 Wilshire Blvd
Suite 400
Santa Monica, CA 90403-5618
Phone (310) 828-2188
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 |
|---|---|---|---|
| PT293004 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1679008304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 WILSHIRE BLVD",
"address_2": "SUITE 400",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035618",
"telephone_number": "310-828-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 SANTA MONICA BLVD STE 201-202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252767",
"telephone_number": "310-479-2323",
"fax_number": "310-479-2329"
}
],
"practiceLocations": [
{
"address_1": "1821 Wilshire Blvd",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904035618",
"country_code": "US",
"telephone_number": "310-828-2188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "HELEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT293004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.