Evan Michael Stuart, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4440 Issued in AZ

Practice address

2301 Golf Course Rd SE
Rio Rancho, NM 87124-4971

Phone

(978) 618-7500

NPI assigned

Oct 3, 2009

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

Enrolled in NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zia Therapy and Pain Relief IncGroup PAC ID 9133562416, 7 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 and National Provider Directory roles.

• Zia Therapy and Pain Relief Inc

  • Multi-Specialty Clinic/Center
  • Rio Rancho, NM
  • NPI 1194586362
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1902131329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 SANTA MONICA AVE NE APT 1101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094162",
            "telephone_number": "978-618-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GOLF COURSE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244971",
            "telephone_number": "978-618-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-03",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Strand, LCSW
• Streams in the Desert Counseling, LLC
• Mia R Streater
• Strengthened Foundations
• Jeffrey C. Strosnider, O.D.
• Danielle Sudlow
• Avalon Suenram
• Robert Patrick Sullivan
• Ashley Summerbell
• Nathan L Summers

• Occupational Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.