Kimeran Withrow Evans, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204151 Issued in VA

Practice address

342 Virginia Avenue
Heartland Rehabilitation Services
Wytheville, VA 24382

Phone

(276) 228-6200

Fax

(276) 228-9175

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimeran M Withrow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lucas Physical Therapy Inc

  dba Lucas Therapies PC

  • Physical Therapist
  • Roanoke, VA
  • NPI 1285774745
  NPD (past)
• Greenbrier Valley Physical Therapy, LLC

  • Specialist
  • Ronceverte, WV
  • NPI 1407946932
  NPD (past)
• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881703056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 VIRGINIA AVENUE",
            "address_2": "HEARTLAND REHABILITATION SERVICES",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "24382",
            "telephone_number": "276-228-6200",
            "fax_number": "276-228-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 VIRGINIA AVENUE",
            "address_2": "HEARTLAND REHABILITATION SERVICES",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "24382",
            "telephone_number": "276-228-6200",
            "fax_number": "276-228-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIMERAN",
        "middle_name": "WITHROW",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMERAN",
            "last_name": "WITHROW",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bart L Eastwood, DO
• Edgemont Center, Inc (Edgemont Rehabilitation and Recovery Center)
• Kimberly Carol Ellison, NP
• Robert Tyler Epperson, RDN
• Jessica Dawn Evans, PT
• Everybody Connect Incorporated
• Dalkeith George Facey, D.O. MBA
• Family Healthcare of Wytheville, PC
• Family Preservation Services, Inc
• Jean Farley, BA

• Physical Therapist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.