Maria Terase Evans, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306601721 Issued in VA

Practice address

10385 Bordelon St
San Diego, CA 92124-3208

Phone

(202) 246-8809

NPI assigned

Oct 16, 2009

Last updated

Oct 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1700111218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10385 BORDELON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243208",
            "telephone_number": "540-209-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10385 BORDELON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243208",
            "telephone_number": "202-246-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARIA",
        "middle_name": "TERASE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Evans
• Kaela Koine Evans
• Karen Louise Evans, LCSW
• Kimberly Evans, PH.D.
• Linda S Evans, CNM
• Mark C Evans, DDS
• Markesha Evans
• Marsue A Evans, RN
• Marva Lynn Evans, M.D.
• Mary T Evans, CRNA

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.