Active NPI
Corey Evans
- Physical Therapist
- Richmond, VA
National Provider Identifier
1679413041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4754
- Practice address
- 8401 Mayland Dr Ste a
Richmond, VA 23294-4648 - Phone
- (270) 227-3636
- NPI assigned
- Mar 28, 2026
- 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 | 4754 | NH | Primary |
Addresses
Primary practice location
8401 Mayland Dr Ste a
Richmond, VA 23294-4648
Mailing address
8401 Mayland Dr # 8444
Richmond, VA 23294-4648
Phone (270) 227-3636
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4754 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1679413041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 MAYLAND DR # 8444",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944648",
"telephone_number": "270-227-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MAYLAND DR STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944648",
"telephone_number": "270-227-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "COREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-28",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.