Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONALD BOYLES EVANGELISTA, DPT
Active Sole ProprietorJONALD BOYLES EVANGELISTA, DPT is a Physical Therapy Assistant healthcare provider located in ALLEN PARK, Michigan. NPI 1770128746 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ALLEN PARK, MI
Registration Details
- NPI Number
- 1770128746
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2019 (6.5694689881403 yrs)
- Last Updated
- Oct 31, 2023
- Licenses
-
032653 (NY)4240 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3157 FAIRLANE DRALLEN PARK, MI, 481012866Browse MI providers · Browse ZIP 48101
- Phone
- 3138270099
- Fax
- 3137490480
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in ALLEN PARK, MI
| Name | Credential | NPI |
|---|---|---|
| BUSHRA MUNAWAR | PT | 1144317132 |
| JOSEPH GAYATAO | PT | 1659499838 |
| UMADEVI RAMACHANDRAN | RPT | 1952552366 |
| MR. STEPHEN DOUGLAS MACKO | MPT | 1205074564 |
| DHARA PRABHUDAS PATEL | PT | 1851623086 |
| HIRAL PARESH GHEEWALA | — | 1891078218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.