Tera Nicole Evans-Derr, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2012013469 Issued in MO

Practice address

8880 NE 82ND Ter
Kansas City, MO 64158-1313

Phone

(816) 271-6636

NPI assigned

Jul 15, 2011

Last updated

Nov 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Excel Rehabilitation Inc

  dba Excel Physical Therapy

  • Physical Therapist
  • Omaha, NE
  • NPI 1306805981
  NPD (past)

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1689962326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581313",
            "telephone_number": "816-437-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581313",
            "telephone_number": "816-271-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-DERR",
        "first_name": "TERA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2012013469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindie Eubanks
• Megan Elizabeth Euerle, DO
• Euwer Professional Counseling,LLC
• Mary Kursten Euwer, LCSW
• Jami T Evans-Arreola, LCSW
• Bryan Edward Evans, DPT,PT
• Carol Evans, M.D.
• Corinne Taylor Evans, M.A.
• Kristen Evans, DPT
• Kulea Monique Evans, LPC

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.