CHARLES MATTHEW EVANS (PT) – Physical Therapist, NPI 1174528285
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
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Provider Addresses for CHARLES MATTHEW EVANS (PT)
PO BOX 40767
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322030767
Phone: (904) 376-3707
Fax: (904) 391-5807
Type: Mailing
Barnhill Drive, Santa Monica, Englewood, Jacksonville, Duval County, Florida, 32207, United States
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322077189
Phone: (904) 733-9948
Fax: (904) 733-9984
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040112000532 | I | Physical Therapist In Private Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,868 | 179 | $0 |
| 97530 | Therapy procedure using functional activities | 135 | 46 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 57 | 56 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 52 | 21 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 34 | 33 | $0 |
Insurance plans in this area (ZIP 32203)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | FL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1031 | 99 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL |
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