Jennifer Ballentine Evans, PT, DPT, WCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33278 Issued in CA

Practice address

1889 Knoll Dr
Ventura, CA 93003-7348

Phone

(805) 644-1591

Fax

(805) 644-1593

NPI assigned

Dec 18, 2006

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pow Physical Therapy a Professional CorporationGroup PAC ID 1658634043, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Pow Physical Therapy, a Professional Corporation

  • Physical Therapy Clinic/Center
  • Ventura, CA
  • NPI 1215431093

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ventura Pelvic Physical Therapy

  • Physical Therapy Clinic/Center
  • Ventura, CA
  • NPI 1578372603
  NPD Authorized official
• Pow Physical Therapy

  • Physical Therapist
  • Ventura, CA
  • NPI 1720376403

  Single Specialty

  NPD (past) Authorized official
• Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1104850197

  Single Specialty

  NPD (past)
• Rehab Specialists, Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1487717153

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1881757359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037348",
            "telephone_number": "805-644-1591",
            "fax_number": "805-644-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037348",
            "telephone_number": "805-644-1591",
            "fax_number": "805-644-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JENNIFER",
        "middle_name": "BALLENTINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, WCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Lorraine Estrada, M.S.
• Kaitlin Etcheverry, MA
• Pedro Eva
• Evans Electrodiagnostics, a Professional Corporation
• Brittany Marie Evans
• Kimberly Evans, MFT
• Matt Evans, PT. DPT
• Evolve Growth Initiatives, LLC
• Excellent Hearing AIDS
• Expansive Transformation Associates, Inc.

• Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.