Individual provider Active NPI

Kaitlyn Ann Evans

  • Physical Therapist
  • San Tan Valley, AZ
National Provider Identifier
1922824739
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033909 Issued in AZ
Practice address
37200 N Gantzel Rd Ste 260
San Tan Valley, AZ 85140-7387
Phone
(480) 690-8080
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-033909 AZ Primary

Addresses

Primary practice location

37200 N Gantzel Rd Ste 260
San Tan Valley, AZ 85140-7387

Mailing address

37200 N Gantzel Rd Ste 260
San Tan Valley, AZ 85140-7387
Phone (480) 690-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209003432 AZ Practitioner - Physical Therapist in Private Practice 3375079783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

100 E Camelback Rd
Suite 120
Phoenix, AZ 85012-1061
Phone (602) 808-8989

10355 N la Canada Dr
Suite 125
Oro Valley, AZ 85737-7307
Phone (520) 505-4830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-033909AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Sep 15, 2025 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Nov 21, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Nov 21, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Sep 15, 2025 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

4045 E Bell Rd
Ste 150
Phoenix, AZ 85032
Phone (602) 992-8352

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989

37200 N Gantzel Rd
Ste 260
San Tan Valley, AZ 85140
Phone (480) 677-3294

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

2990 N Campbell Ave
Ste 220
Tucson, AZ 85719
Phone (520) 398-6670

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1922824739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37200 N GANTZEL RD STE 260",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407387",
            "telephone_number": "480-690-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37200 N GANTZEL RD STE 260",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407387",
            "telephone_number": "480-690-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.