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EVELYN VILLARREAL LACLEDE PT, DPT
NPI 1326645375
Physical Therapist in Jacksonville, NC

Active since October 02, 2020Accepts Medicare Assignment
2457 GUM BRANCH RD # 600-800, JACKSONVILLE, NC 28540(252) 228-4643 Get Directions Write a Review

NPPES record last updated: March 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2024, Jan 6, 2023, Sep 29, 2022 and 1 more (4 updates tracked since 2020).

About Evelyn Villarreal Laclede Pt, Dpt NPPES

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

EVELYN VILLARREAL LACLEDE PT, DPT (NPI 1326645375) is an individual physical therapist in Jacksonville, North Carolina, licensed in North Carolina (CP029624T) and active in the NPI registry since October 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1326645375
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameEVELYN VILLARREAL LACLEDECredential: PT, DPT
Location Address2457 GUM BRANCH RD # 600-800Jacksonville, NC 28540-4008
Mailing Address2457 Gum Branch Rd # 600-800Jacksonville, NC 28540-4008
Phone(252) 228-4643
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 2, 2020
Last NPPES UpdateMarch 10, 20244 updates tracked since enumeration
NPPES CertifiedMarch 10, 2024
✔ NPI 1326645375 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
Licenses✔ Licensed in NC · CP029624T✔ Licensed in TX · 1337128✔ Licensed in WA · PT61393182
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.
2457 GUM BRANCH RD # 600-800, Jacksonville, NC 28540
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Other Names 1

Former Name (1)Evelyn Villarreal

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Evelyn Villarreal Laclede Pt, Dpt 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 ID7416377551
PECOS Enrollment IDI20250702000418

Medicare Billing Reassignment

Medicare enrollment records show Evelyn Villarreal Laclede reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anb-Ptsma Holdings, Inc.
543 mi
Physical Therapist
47 N MAIN ST
West Hartford, CT 06107
  • Reassigned Medicare billing, Connecticut enrollment
  • 212 clinicians in this Medicare group
NPI 1659453371 (860) 409-4595

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 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.
326 services44 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.
322 services45 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.
255 services43 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.
91 services20 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.
12 services12 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Evelyn Villarreal Laclede's NPI number?

The NPI number for Evelyn Villarreal Laclede is 1326645375. It was assigned to this individual provider in the NPPES registry on October 2, 2020. The provider is also known as Evelyn Villarreal.

Where is Evelyn Villarreal Laclede located?

Evelyn Villarreal Laclede practices at 2457 Gum Branch Rd # 600-800, Jacksonville, NC 28540. The listed phone number is (252) 228-4643.

What is Evelyn Villarreal Laclede's specialty?

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

Is Evelyn Villarreal Laclede enrolled in Medicare?

Yes. Evelyn Villarreal Laclede 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 organization bills Medicare for Evelyn Villarreal Laclede's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Villarreal Laclede reassigns Medicare benefits to Anb-Ptsma Holdings, Inc. (West Hartford, CT). 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 Evelyn Villarreal Laclede's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evelyn Villarreal Laclede accept?

Health plans from Blue Cross and Blue Shield of Texas list Evelyn Villarreal Laclede 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 Evelyn Villarreal Laclede was last updated on March 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.