Angela Jean Evans, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

890 Issued in NE

Practice address

559 W 15TH St
Wahoo, NE 68066-1280

Phone

(402) 786-0476

NPI assigned

Oct 10, 2006

Last updated

Jul 15, 2013By 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

Other names 1

• Angela Jean Gustafson Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nebraska College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Makovicka Harms Group PCGroup PAC ID 0143374124, 48 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

32.9 of 100Reported as group

Quality

0

Improvement activities

40

Cost

59.68

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Makovicka Harms Group PC

  dba Makovicka Physical Therapy

  • Physical Therapist
  • Omaha, NE
  • NPI 1386879559
  Medicare reassignment Care Compare group NPD
• East Central Nebraska Therapy

  • Physical Therapist
  • North Bend, NE
  • NPI 1710239447
  NPD (past)
• Makovicka Harms Group, PC

  dba Makovicka Physical Therapy

  • Physical Therapist
  • Papillion, NE
  • NPI 1093077000
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1710075676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680660427",
            "telephone_number": "402-443-4555",
            "fax_number": "402-443-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W 15TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661280",
            "telephone_number": "402-786-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GUSTAFSON",
            "middle_name": "JEAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daileys Clinic Phcy Inc (Coleman Clinic Pharmacy)
• Claudia Jan Davis, LMHP CPC
• Matthew Donald Dover, PTA
• Amy Dunlap
• Hannah Nicole Ehresman
• Family Healthcare of Wahoo, LLC
• Mary L. Filipi, APRN, PH.D.
• Cory Foland, DDS
• Freidel Medical Associates
• Melissa Kaye Fulton, APRN

• Physical Therapist in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.