Jay A Evans, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA18770 Issued in FL

Practice address

1348 Pinetta Cir
Wellington, FL 33414-6016

Phone

(561) 254-8627

NPI assigned

Feb 14, 2020

Last updated

Feb 14, 2020By the provider in NPPES

Sex

Male

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1740813153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 PINETTA CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 PINETTA CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146016",
            "telephone_number": "561-254-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAY",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA18770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Liana Estornell, M.S.,CCC/SLP
• Natacha Etienne, APRN
• Alison Marie Evans, M.S., CCC-SLP
• Andrew Evans, D.O.
• Dean Ernest Evans, PA-C
• Evergreene Center Inc
• Evernorth Direct Health LLC
• Stael Exantus, RMHCI- CRC
• Eye & Ear of Wellington LLC
• Graham Eyeington

• Physical Therapy Assistant in Wellington, FL
• Providers in Wellington, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.