Matt Evans, PT. DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT35247 Issued in CA

Practice address

1889 Knoll Dr
Ventura, CA 93003-7348

Phone

(805) 644-1591

Fax

(805) 644-1593

NPI assigned

Jan 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pow Physical Therapy a Professional CorporationGroup PAC ID 1658634043, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pow Physical Therapy, a Professional Corporation

  • Physical Therapy Clinic/Center
  • Ventura, CA
  • NPI 1215431093

  CA, Orthopedic

  Medicare reassignment Care Compare group NPD
• Evans Electrodiagnostics, a Professional Corporation

  • Clinic/Center
  • Ventura, CA
  • NPI 1699352385
  NPD
• Pow Physical Therapy

  • Physical Therapist
  • Ventura, CA
  • NPI 1720376403
  NPD

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1962648428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037348",
            "telephone_number": "805-644-1591",
            "fax_number": "805-644-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037348",
            "telephone_number": "805-644-1591",
            "fax_number": "805-644-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "PT. DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-05",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT35247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "PT35247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedro Eva
• Evans Electrodiagnostics, a Professional Corporation
• Brittany Marie Evans
• Jennifer Ballentine Evans, PT, DPT, WCS
• Kimberly Evans, MFT
• Evolve Growth Initiatives, LLC
• Excellent Hearing AIDS
• Expansive Transformation Associates, Inc.
• Tiffany Anne Eyestone
• F Esfandiari Dental Corporation

• Orthopedic Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.