Active NPI
Julius R Evans
- Occupational Therapist
- Washington, DC
National Provider Identifier
1902365612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08676
- Practice address
- 1330 Massachusetts Ave NW
Washington, DC 20005-4155 - Phone
- (202) 719-0807
- NPI assigned
- Mar 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08676 | MD | Primary |
| Occupational Therapist | 225X00000X | OT010001609 | DC |
Addresses
Primary practice location
1330 Massachusetts Ave NW
Washington, DC 20005-4155
Mailing address
101 W Read St Apt 611
Baltimore, MD 21201-4913
Phone (757) 310-4175
Other practice location 1
2600 Putty Hill Ave
Baltimore, MD 21234-4309
Phone (443) 809-5257
Other practice location 2
121 E Ridgely Rd # 21093
Lutherville Timonium, MD 21093-5222
Phone (443) 809-7650
Other practice location 3
8711 Avondale Rd
Baltimore, MD 21234-4201
Phone (443) 809-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT010001609 | DC | MD | Occupational Therapist |
| 08676 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1902365612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W READ ST APT 611",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014913",
"telephone_number": "757-310-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 MASSACHUSETTS AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200054155",
"telephone_number": "202-719-0807"
}
],
"practiceLocations": [
{
"address_1": "2600 Putty Hill Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212344309",
"country_code": "US",
"telephone_number": "443-809-5257",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 E Ridgely Rd # 21093",
"address_purpose": "LOCATION",
"city": "Lutherville Timonium",
"state": "MD",
"postal_code": "210935222",
"country_code": "US",
"telephone_number": "443-809-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8711 Avondale Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212344201",
"country_code": "US",
"telephone_number": "443-809-5250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "JULIUS",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-13",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08676",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": "OT010001609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.