Active NPI
Evan Walter Lotz, DPT
- Orthopedic Physical Therapist
- Tarzana, CA
National Provider Identifier
1740748391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 295990
- Practice address
- 18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345 - Phone
- (818) 812-5300
- NPI assigned
- Mar 2, 2019
- Last updated
- Feb 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | 295990 | CA | Primary |
Addresses
Primary practice location
18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345
Mailing address
908 W William St
Champaign, IL 61821-4511
Phone (217) 722-1223
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1740748391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 W WILLIAM ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618214511",
"telephone_number": "217-722-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18757 BURBANK BLVD STE 118",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566345",
"telephone_number": "818-812-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTZ",
"first_name": "EVAN",
"middle_name": "WALTER",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-02",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "295990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.