Individual provider Active NPI

Linda Marie Evans, PT, DPT

  • Physical Therapist
  • Hemet, CA
National Provider Identifier
1679737795
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 34763 Issued in CA
Practice address
2091 W Florida Ave Ste 210
Hemet, CA 92545-4800
Phone
(951) 658-0005
Fax
(951) 658-0009
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 34763 CA Primary

Addresses

Primary practice location

2091 W Florida Ave Ste 210
Hemet, CA 92545-4800

Mailing address

23100 Eucalyptus Ave Ste C
Moreno Valley, CA 92553-5439
Phone (951) 529-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081031000485 CA Practitioner - Physical Therapist in Private Practice 8820157167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Physical Therapy IncGroup PAC ID 5597027581, 15 clinicians

Practice addresses (Care Compare)

29791 Haun Rd
Suite 102
Menifee, CA 92586-6548
Phone (951) 290-7145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34763CAMDOptometrist
PT 34763CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Physical Therapy, Inc. Physical Therapist CurrentSince May 23, 2022 Accepting new patients
Choice Physical Therapy Inc Physical Therapy PastSince Jun 6, 2014 Accepting new patients

Locations

2091 W Florida Ave
Ste 210
Hemet, CA 92545
Phone (951) 574-6300

29791 Haun Rd
Ste 102
Menifee, CA 92586
Phone (951) 290-7145

23100 Eucalyptus Ave
Ste C
Moreno Valley, CA 92553
Phone (951) 379-1500

26755 Jefferson Ave
Ste D1
Murrieta, CA 92562
Phone (951) 574-6300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1679737795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 EUCALYPTUS AVE STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535439",
            "telephone_number": "951-529-1988",
            "fax_number": "951-379-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 W FLORIDA AVE STE 210",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454800",
            "telephone_number": "951-658-0005",
            "fax_number": "951-658-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.