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NPI Code Detail

MEDICARE: DR. ANTHONY JAMES EVANS DPT

MEDICARE:  DR. ANTHONY JAMES EVANS  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist10795SC
2225100000XPhysical Therapist17281NC

General Provider Information

NPI Number : 1588143077
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY JAMES EVANS DPT
Provider Business Mailing Address
First Line : 4231 SPADEFOOT CT
Second Line :
City : LANCASTER
State : SC
Zip : 29720-0418
Country : US
Telephone Number : 704-975-0222
Fax Number : 704-235-1621
Provider Business Practice Location Address
First Line : 2585 W ROOSEVELT BLVD
Second Line :
City : MONROE
State : NC
Zip : 28110-0418
Country : US
Telephone Number : 803-839-0278
Fax Number : 704-235-1621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2018
Last Update Date : 01/14/2026

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Directions to “ DR. ANTHONY JAMES EVANS DPT” Practice Location

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