Active NPIIndividual providerSole proprietor

Jeffery S Evanson, PTA

Physical Therapy Assistant in Newport, New Hampshire

NPI Number1184829988
Practice location
84 Pine St, Newport, NH 03773-2005
Fax
603-863-4964
Last updated
July 8, 2007

Jeffery Scott Evanson is a Physical Therapy Assistant based in Newport, NH. Jeffery Scott Evanson practices in Newport, NH and has the professional credentials of PTA. The NPI Number for Jeffery Scott Evanson is 1184829988 and holds a License No. 0857 (NH). The current practice location address for Jeffery Scott Evanson is 84 Pine St, Newport, NH 03773-2005 and can be reached out via phone at 603-863-1020 and via fax at 603-863-4964.

Provider Profile Details

NPI Number
1184829988
Provider Name
Jeffery Scott Evanson
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
84 Pine St, Newport, NH 03773-2005
Phone Number
603-863-1020
Fax Number
603-863-4964
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
June 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
84 Pine St
Newport, NH 03773-2005
Zip
03773-2005
Phone Number
603-863-1020
Fax Number
603-863-4964
Newport, NH 03773Get directions →

Provider Business Mailing Address Details

Address
487 Borough RD
Charlestown, NH 03603-4420
City
Charlestown
State
NH
Zip
03603-4420
Phone Number
603-826-4145

License Information

License Number
0857
License State
NH
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeffery S Evanson, PTA?

The NPI number of Jeffery S Evanson, PTA is 1184829988. It was assigned on June 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Jeffery S Evanson, PTA?

Jeffery S Evanson, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NH under license number 0857.

Where does Jeffery S Evanson, PTA practice?

The practice location is 84 Pine St, Newport, NH 03773-2005. The office can be reached at 603-863-1020 (phone) or 603-863-4964 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184829988 directly on the NPPES registry website.

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