Individual provider Active NPI

Evan Michael Gemerek, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Moses Lake, WA
National Provider Identifier
1962392050
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT70013469 Issued in WA
Practice address
1429 S Pioneer Way
Moses Lake, WA 98837-2458
Phone
(509) 765-9608
NPI assigned
Jul 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT70013469 WA Primary

Addresses

Primary practice location

1429 S Pioneer Way
Moses Lake, WA 98837-2458

Mailing address

28 Hidden TRL
Lancaster, NY 14086-9684
Phone (716) 468-5236

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

LicenseStateTypeSpecialty
PT70013469WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Physical Therapy Inc PS CurrentSince Jul 13, 2025 Accepting new patients

Locations

1429 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 765-9608

Organizations & group practices 1

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1962392050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HIDDEN TRL",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869684",
            "telephone_number": "716-468-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372458",
            "telephone_number": "509-765-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMEREK",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "credential": "PT,  DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT70013469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.