MR. JED EDISON MANCE EVANGELISTA PT
NPI 1215592845
Physical Therapist in Kew Gardens, NY
About Mr. Jed Edison Mance Evangelista Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JED EDISON MANCE EVANGELISTA PT (NPI 1215592845) is an individual physical therapist in Kew Gardens, New York and active in the NPI registry since May 2019. He is a graduate of Other (2011).
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jed Edison Mance Evangelista Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
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 Jed Edison Evangelista's NPI number?
The NPI number for Jed Edison Evangelista is 1215592845. It was assigned to this individual provider in the NPPES registry on May 9, 2019.
Where is Jed Edison Evangelista located?
Jed Edison Evangelista practices at 8532 125th St, Kew Gardens, NY 11415. The listed phone number is (410) 629-9872.
What is Jed Edison Evangelista's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jed Edison Evangelista enrolled in Medicare?
Yes. Jed Edison Evangelista is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jed Edison Evangelista was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.