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EVAN ARIEL WALTERS
NPI 1184114779
Physical Therapist - Orthopedic in Grass Valley, CA

Active since May 18, 2018Accepts Medicare Assignment
104 MAGARET LANE, GRASS VALLEY, CA 95945(530) 263-8006(530) 273-7551 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evan Ariel Walters NPPES

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

EVAN ARIEL WALTERS (NPI 1184114779) is an individual orthopedic provider in Grass Valley, California, licensed in California (294652) and active in the NPI registry since May 2018. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1184114779
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameEVAN ARIEL WALTERS
Location Address104 MAGARET LANEGrass Valley, CA 95945
Mailing Address10435 East DrGrass Valley, CA 95945-8502 · (530) 273-2850
Phone(530) 263-8006
Fax(530) 273-7551
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2018
✔ NPI 1184114779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 294652
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
104 MAGARET LANE, Grass Valley, CA 95945
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Other Identifiers 2

Other294652CA · Physical Therapist
Medicaid294652CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan Ariel Walters is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537424924
PECOS Enrollment IDI20180606002077

Medicare Billing Reassignments

3

Medicare enrollment records show Evan Walters reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Physical Therapist
104 MARGARET LN, SUITE B
Grass Valley, CA 95945
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1073694519 (530) 273-7500
Evolution Physical Therapy & Wellness
0.7 mi
Physical Therapist
130 W BERRYHILL DR
Grass Valley, CA 95945
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1568053742 (530) 205-9538
New Edge Physical Therapy Inc
8.5 mi
Physical Therapist
11392 PLEASANT VALLEY RD
Penn Valley, CA 95946
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1477196111 (530) 432-9660

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 6

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 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.
1,142 services129 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,041 services126 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
716 services98 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
150 services42 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
124 services32 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
104 services93 patients

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 Evan Walters's NPI number?

The NPI number for Evan Walters is 1184114779. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Evan Walters located?

Evan Walters practices at 104 Magaret Lane, Grass Valley, CA 95945. The listed phone number is (530) 263-8006.

What is Evan Walters's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Evan Walters enrolled in Medicare?

Yes. Evan Walters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Evan Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Walters reassigns Medicare benefits to 3 organizations: (Grass Valley, CA), Evolution Physical Therapy & Wellness (Grass Valley, CA) and New Edge Physical Therapy Inc (Penn Valley, CA). Each 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 Evan Walters'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 Evan Walters was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.