Active NPI
Elizabeth Lewis Evans, PT, DPT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1710550710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.61301593
- Practice address
- 7808 NE 51St St
Vancouver, WA 98662-6207 - Phone
- (971) 364-0610
- NPI assigned
- Jul 19, 2021
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0017573 | CO | |
| Physical Therapist | 225100000X | PT.61301593 | WA | Primary |
Addresses
Primary practice location
7808 NE 51St St
Vancouver, WA 98662-6207
Mailing address
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Other practice location 1
19160 Cottonwood Dr
Parker, CO 80138-8870
Phone (303) 996-8000
Other names 1
- Elizabeth Caroline Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0017573 | CO | MD | Physical Therapist |
| PT.61301593 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1710550710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE STE D",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7808 NE 51ST ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626207",
"telephone_number": "971-364-0610"
}
],
"practiceLocations": [
{
"address_1": "19160 Cottonwood Dr",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801388870",
"country_code": "US",
"telephone_number": "303-996-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "ELIZABETH",
"middle_name": "LEWIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017573",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT.61301593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "LEWIS",
"middle_name": "CAROLINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.