Individual provider Active NPI

Evan Michael Hart, PT, DPT

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1821643164
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10382 Issued in LA
Practice address
714 Dublin St
New Orleans, LA 70118-1022
Phone
(504) 861-4693
Fax
(504) 865-8379
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10382 LA Primary

Addresses

Primary practice location

714 Dublin St
New Orleans, LA 70118-1022

Mailing address

714 Dublin St
New Orleans, LA 70118-1022
Phone (504) 861-4693

Other practice location 1

8400 W Judge Perez Dr Ste 9
Chalmette, LA 70043-1731
Phone (504) 861-4693

Other practice location 2

3759 Airline Dr Ste 104
Metairie, LA 70001-5835
Phone (504) 861-4693

Other identifiers 1

IdentifierTypeStateIssuer
2510274MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190926000583 LA Practitioner - Physical Therapist in Private Practice 5395075899 Reassigns benefits to 2 organizations
I20231220000916 RI Practitioner - Physical Therapist in Private Practice 5395075899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 1951295187, 73 clinicians

Practice addresses (Care Compare)

3461 S County TRL
Suite 304
East Greenwich, RI 02818-1463
Phone (401) 398-7988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10382LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Nov 27, 2023 Accepting new patients
Orthopaedic Physical Therapy of New Orleans L L C Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients
Lovin' Life Physical Therapy. LLC Physical Therapist CurrentSince Feb 20, 2023 Accepting new patients

Locations

8400 W Judge Perez Dr
Ste 9
Chalmette, LA 70043
Phone (504) 277-6052

3759 Airline Dr
Ste 104
Metairie, LA 70001
Phone (504) 861-4693

714 Dublin St
New Orleans, LA 70118
Phone (504) 861-4693

3461 S County Trl
Ste 304
East Greenwich, RI 02818
Phone (401) 398-7988

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1821643164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181022",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181022",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 W Judge Perez Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700431731",
            "country_code": "US",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3759 Airline Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700015835",
            "country_code": "US",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2510274",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.