DR. NICOLE EVANOSKY PT, DPT
NPI 1093489668
Physical Therapist in Dallas, PA

Active since August 05, 2021
5 JACQUELYN LN, DALLAS, PA 18612(570) 574-1930 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicole Evanosky Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE EVANOSKY PT, DPT (NPI 1093489668) is an individual physical therapist in Dallas, Pennsylvania, licensed in Pennsylvania (PT012689L) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1093489668
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. NICOLE EVANOSKYCredential: PT, DPT
Location Address5 JACQUELYN LNDallas, PA 18612-9107
Mailing Address5 Jacquelyn LnDallas, PA 18612-9107 · (570) 574-1930
Sole ProprietorNo
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1093489668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in PA · PT012689L
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5 JACQUELYN LN, Dallas, PA 18612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Evanosky Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Evanosky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
5 JACQUELYN LN
Dallas, PA 18612
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
106 services14 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
63 services13 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5 JACQUELYN LN
DALLAS, PA 18612
Occupational Therapist
5 JACQUELYN LN
DALLAS, PA 18612
Physical Therapist
5 JACQUELYN LN
DALLAS, PA 18612
Occupational Therapist
5 JACQUELYN LN
DALLAS, PA 18612
Physical Therapist
5 JACQUELYN LN
DALLAS, PA 18612
Occupational Therapist
5 JACQUELYN LN
DALLAS, PA 18612
Occupational Therapist
5 JACQUELYN LN
DALLAS, PA 18612
Physical Therapist
5 JACQUELYN LN
DALLAS, PA 18612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Evanosky's NPI number?

The NPI number for Nicole Evanosky is 1093489668. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Nicole Evanosky located?

Nicole Evanosky practices at 5 Jacquelyn Ln, Dallas, PA 18612. The listed phone number is (570) 574-1930.

What is Nicole Evanosky's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicole Evanosky enrolled in Medicare?

Yes. Nicole Evanosky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Evanosky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Evanosky reassigns Medicare benefits to Cip Rehabilitation Inc (Dallas, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Evanosky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Evanosky was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.