Zachary Christopher Evans

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2736 Issued in MN

Practice address

626 Shields Ave
Wabasha, MN 55981-1142

Phone

(651) 565-4581

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1871246488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 2ND ST SE",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341807",
            "telephone_number": "320-334-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 SHIELDS AVE",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811142",
            "telephone_number": "651-565-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ZACHARY",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Darling, PT
• Thomas Edward Dudley, M.D.
• Scott Holt Durand, DDS
• Eagle Valley Chiropractic LLC
• Colleen Etzbach, RHD, LPC
• Mary Lou Fellows
• Carol Ann Groth
• Kinsley Sara Hackman, SLP
• Marc J. Hampl, PA-C
• Luke Carl Helland

• Physical Therapy Assistant in Wabasha, MN
• Providers in Wabasha, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.