Active NPI
Lauren Nicole Evans, DPT
- Pediatric Physical Therapist
- Decatur, AL
National Provider Identifier
1942788492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PTH9015
- Practice address
- 1931 Central Pkwy SW
Decatur, AL 35601-6848 - Phone
- (256) 309-0454
- NPI assigned
- Aug 6, 2018
- Last updated
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PTH9015 | AL | Primary |
Addresses
Primary practice location
1931 Central Pkwy SW
Decatur, AL 35601-6848
Mailing address
2725 Apsley Way SW
Decatur, AL 35603-3367
Phone (256) 899-4107
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 |
|---|---|---|---|
| PTH9015 | AL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1942788492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 APSLEY WAY SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356033367",
"telephone_number": "256-899-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 CENTRAL PKWY SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356016848",
"telephone_number": "256-309-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AL",
"license": "PTH9015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.