Thomas Dale Evans

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000010866 Issued in TN

Practice address

244 Jackson Meadows Dr
Hermitage, TN 37076-1425

Phone

(615) 874-9888

Fax

(615) 883-6899

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1679581482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CHARMING CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642888",
            "telephone_number": "615-874-9888",
            "fax_number": "615-883-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-874-9888",
            "fax_number": "615-883-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "THOMAS",
        "middle_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000010866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00039795",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF AL",
            "identifier": "51512447",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000092766",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarek Galal Elalayli, M.D.
• Payton Elliott
• Lisa Michelle Ellis Kennedy, DPT
• Kara England, PT
• Aaron M Esbenshade Jr., M.D.
• William Garland Evans, PHARM.D.
• Express Medical Transportation
• Exquisite Krownz
• Anne E Eyler, MD
• Gilbert D Ezell, MD

• Physical Therapist in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.