Individual provider Active NPI

Evalyn Eyitemiete Fregene, DPT

  • Physical Therapist
  • Austell, GA
National Provider Identifier
1922895986
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017611 Issued in GA
Practice address
1025 E West Connector Ste 406
Austell, GA 30106-8531
Phone
(770) 384-1001
NPI assigned
Apr 23, 2025
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 PT017611 GA Primary

Addresses

Primary practice location

1025 E West Connector Ste 406
Austell, GA 30106-8531

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995

Other practice location 1

148 Sauls St Ste B
Lake City, SC 29560-2677
Phone (843) 374-0185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117002642 SC Practitioner - Physical Therapist in Private Practice 9335630417 Reassigns benefits to 1 organization

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
Pro-Motion Physical Therapy of Florence SC LLCGroup PAC ID 8820307580, 18 clinicians

Practice addresses (Care Compare)

148 Sauls St
Suite B
Lake City, SC 29560-2677
Phone (843) 374-0185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017611GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ih3 Physcial Therapy Physical Therapist CurrentSince Apr 27, 2025 Accepting new patients
Pro-Motion Physical Therapy of Columbia, SC CurrentSince Apr 27, 2025 Accepting new patients
Pro-Motion Physical Therapy of Florence, SC, LLC Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients

Locations

610 W Palmetto St
Florence, SC 29501
Phone (843) 374-0185

148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1922895986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E WEST CONNECTOR STE 406",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068531",
            "telephone_number": "770-384-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Sauls St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "SC",
            "postal_code": "295602677",
            "country_code": "US",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREGENE",
        "first_name": "EVALYN",
        "middle_name": "EYITEMIETE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.