EVAN WALSH MAZUR
NPI 1215452479
Physical Therapist in Grand Rapids, MI
About Evan Walsh Mazur NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN WALSH MAZUR (NPI 1215452479) is an individual physical therapist in Grand Rapids, Michigan, licensed in Michigan (5501303510) and active in the NPI registry since August 2017. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
- 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.
Accepted Insurance
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 Walsh Mazur 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.
Medicare Billing Reassignments
4Medicare enrollment records show Evan Mazur reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 59 clinicians in this Medicare group
Canton, MI 48187
- Reassigned Medicare billing, Michigan enrollment
- 116 clinicians in this Medicare group
Aurora, CO 80013
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Panorama Orthopedics And Spine Center PC
- 431 clinicians in this Medicare group
Denver, CO 80222
- Reassigned Medicare billing, Colorado enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mazur's NPI number?
The NPI number for Evan Mazur is 1215452479. It was assigned to this individual provider in the NPPES registry on August 9, 2017.
Where is Evan Mazur located?
Evan Mazur practices at 4085 Burton St SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 233-3599.
What is Evan Mazur's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Evan Mazur enrolled in Medicare?
Yes. Evan Mazur 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 Mazur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Mazur reassigns Medicare benefits to 4 organizations: Advent Rehabilitation, LLC (Grand Rapids, MI), Fox Rehabilitation Services Mi LLC (Canton, MI), Panorama Orthopedics & Spine Center, PC (Aurora, CO) and Colorado Spine Therapy, LLC (Denver, CO). 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 Mazur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Mazur accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Evan Mazur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Evan Mazur was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.