EVAN BURGESS (NPI# 1386176071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386176071 |
| Entity Type | Individual |
| Full Name | EVAN BURGESS |
| Credential | DPT |
| Practice Address |
1685 W 2200 S Salt Lake City UT 84119-1456 |
| Mailing Address |
33 Lost Creek Ln 403 Murray UT 84107-7964 |
| Practice Telephone | 8018875455 |
| Mailing Telephone | 2482253729 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10197781-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871813832 | Evan Burgess | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-06-01 |
| Street Address |
1685 W 2200 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84119-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174540058 | Ihc Health Services, Inc. | Clinic/Center | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2006-07-16 |
| 1205300308 | Katie Nicole Samuels | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2019-01-11 |
| 1699267088 | Janessa Milne Snelders | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2018-06-01 |
| 1255710703 | Tyson Wing | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2015-05-29 |
| 1477812469 | Zachary Wayne Smith | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2012-05-10 |
| 1225321615 | Ekaterina Parkinson | Specialist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2011-05-18 |
| 1336375518 | Kate I Minick | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2009-06-02 |
| 1356576185 | Sara Elizabeth Wallace | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2009-05-22 |
| 1518122100 | Michael Brent Cotton | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2008-07-23 |
| 1942468038 | Grayson Doar | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2008-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
| 1033541727 | James Bradford Milam | Physical Therapist | 569 W 600 S, Salt Lake City, UT 84101-2215 | 2013-08-05 |
| 1851613426 | Nathan Dowling | Physical Therapist | 1410 Edison St, Suite A, Salt Lake City, UT 84115-5402 | 2010-02-23 |
| 1760611891 | Collin K Bywaters | Physical Therapist | 1291 S 1100 E Ste 202, Salt Lake City, UT 84105-1826 | 2009-07-10 |
| 1992311799 | Hannah Benoit Belles | Physical Therapist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2020-09-17 |
| 1669956983 | Mark Rebilas | Physical Therapist | 1735 S Redwood Rd Ste 115, Salt Lake City, UT 84104-5107 | 2018-09-21 |
| 1174009054 | Hall Physical Therapy LLC | Physical Therapist | 349 E 900 S, Salt Lake City, UT 84111-4331 | 2018-07-13 |
| 1992215784 | Kristi E Brown | Physical Therapist | 1952 E Fort Union Blvd, Salt Lake City, UT 84121-6877 | 2017-10-05 |
| 1164870218 | Preston Ward | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2016-05-31 |
| 1619349917 | Travis Yoshimoto | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2015-10-26 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84119 |
Please comment or provide details below to improve the information on EVAN BURGESS.
| 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.