DR. MATT EVANS (NPI# 1962648428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962648428 |
Entity Type | Individual |
Full Name | DR. MATT EVANS |
Credential | PT. DPT |
Practice Address |
4601 Telephone Rd Suite 108 Ventura CA 93003-5670 |
Mailing Address |
4601 Telephone Rd Ste 107 Ventura CA 93003-5671 |
Practice Telephone | 8056441591 |
Practice Fax Number | 8056441593 |
Mailing Telephone | 8056441591 |
Mailing Fax Number | 8056441593 |
Enumeration Date | 2009-01-05 |
Last Update Date | 2016-11-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT35247 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENCE | PT35247 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821431560 | Matt Evans | Family Medicine | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2013-04-11 |
1497368484 | Matt Evans | Case Manager/Care Coordinator | 5362 Lemee Ln, Mariposa, CA 95338-9556 | 2020-08-28 |
Street Address |
4601 TELEPHONE RD SUITE 108 |
City | VENTURA |
State | CA |
Zip Code | 93003-5670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881757359 | Jennifer Ballentine Evans | Physical Therapist | 4601 Telephone Rd, Suite 108, Ventura, CA 93003-5670 | 2006-12-18 |
1134677446 | Professional Weight Control Centers | Internal Medicine | 4601 Telephone Rd, Suite 108, Ventura, CA 93003-5670 | 2016-09-15 |
1609233014 | Strickland Optometric Corporation | Optometrist | 4601 Telephone Rd, Suite 109, Ventura, CA 93003-5670 | 2016-01-15 |
1659765980 | Advanced Spine & Sport Medical Rehabilitation Center, Inc | General Practice | 4601 Telephone Rd, Suite 110, Ventura, CA 93003-5670 | 2015-03-25 |
1720376403 | Pow Physical Therapy | Physical Therapist | 4601 Telephone Rd, Suite 108, Ventura, CA 93003-5670 | 2011-07-15 |
1053635201 | Gary Frank Strickland | Optometrist | 4601 Telephone Rd, Ste 109, Ventura, CA 93003-5671 | 2010-03-17 |
1861570038 | Harold Louis Endlich | Radiologic Technologist | 4601 Telephone Rd, Suite 101, Ventura, CA 93003-5670 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
Find all providers in zip 93003 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396049193 | Josee Routhier | Physical Therapist | 2895 Loma Vista Rd Ste H, Ventura, CA 93003-1542 | 2011-01-07 |
1487856233 | Nicole Cortez | Physical Therapist | 3525 Loma Vista Rd # A, Ventura, CA 93003-3101 | 2007-06-04 |
1851406425 | Lisa Christine West | Physical Therapist | 2112 Eastman Ave, Suite 101, Ventura, CA 93003-5773 | 2006-08-21 |
1508971169 | Stephen Blaine Edwards | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2006-08-21 |
1023082294 | Deborah Smith | Physical Therapist | 3737 Telegraph Rd, Suite A, Ventura, CA 93003-3464 | 2006-02-15 |
1851361513 | Melinda A Crisostomo | Physical Therapist | 5550 Telegraph Rd Ste A, Ventura, CA 93003-4256 | 2006-01-25 |
1497268932 | Danielle Nicole Lippert Price | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2017-11-07 |
1760901920 | Kylie Mae Hawkins | Physical Therapist | 5550 Telegraph Rd, Ventura, CA 93003-4254 | 2017-09-19 |
1760903397 | Sandra Alicia Bernedo | Physical Therapist | 2895 Loma Vista Rd, Ventura, CA 93003-1572 | 2017-07-05 |
1326436403 | Advocate Physical Therapy, Inc. | Physical Therapist | 2112 Eastman Ave, Suite 101, Ventura, CA 93003-5773 | 2014-12-24 |
Find all providers in VENTURA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.