Active NPI
Paul Evans, P.T.
- Physical Therapist
- Southaven, MS
National Provider Identifier
1982870275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3737
- Practice address
- 7900 Airways Blvd BLDG a
Ste 2
Southaven, MS 38671-4113 - Phone
- (662) 536-4096
- Fax
- (662) 536-4099
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7622 | TN | |
| Physical Therapist | 225100000X | PT3737 | MS | Primary |
Addresses
Primary practice location
7900 Airways Blvd BLDG a
Ste 2
Southaven, MS 38671-4113
Mailing address
6263 Poplar Ave
Ste 801
Memphis, TN 38119-4701
Phone (901) 685-7227
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3737 | MS | MD | Physical Therapist |
| 7622 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1982870275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6263 POPLAR AVE",
"address_2": "STE 801",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194701",
"telephone_number": "901-685-7227",
"fax_number": "267-321-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 AIRWAYS BLVD BLDG A",
"address_2": "STE 2",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386714113",
"telephone_number": "662-536-4096",
"fax_number": "662-536-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "PAUL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7622",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
- Emotionally Available Counseling
- Epp Lowery Ms PLLC
- Jeremy Erickson, MAMFTC
- Talunja Eskridge, LPC
- Mary Caroline Evangelisti
- Evelyn HIV World Consult (Evelyn Dobson)
- Eye Care Surgery Center of Southaven,LLC
- Priti Prakash Ezhuvathra, MD
- F.C. of Mississippi, Inc. (Intrepid USA Healthcare Services)
- Le'Brianna Fairley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.