EVAN WURTZ (DPT) – Physical Therapist, NPI 1164146726

EVAN WURTZ (DPT) is a healthcare provider. based in El paso, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1368003 (TX). The NPI Number for EVAN WURTZ (DPT) is 1164146726

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
EVAN WURTZ (DPT)
NPI
1164146726
Phone
(915) 855-6466
Address
11855 PHYSICIANS DR
Enumeration Date
28 September 2022
Last Update Date
28 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5127106516
Graduation Year
2022 (4 years ago)
PAC ID
6406222785
Group Practice PAC ID
2466781430
Professional Enrollment ID
I20221012002236
Address ID
TX787286518AU13915RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for EVAN WURTZ (DPT)

  • 11855 PHYSICIANS DR

    EL PASO, TX 799366280

    Phone: (915) 855-6466

    Mailing address matches the actual address.

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: 2022-10-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221012002236IPhysical Therapist In Private PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79936)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466781430View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
-OK
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
-CA

Reviews

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Frequently asked questions

Is EVAN WURTZ (DPT) listed with a National Provider Identifier?
Yes — EVAN WURTZ (DPT) has NPI 1164146726 on file in the registry.
Active or inactive — what applies to EVAN WURTZ (DPT)?
You should see EVAN WURTZ (DPT) as active in CMS-hosted NPPES data.
What expertise is attributed to EVAN WURTZ (DPT)?
EVAN WURTZ (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is EVAN WURTZ (DPT) located near El Paso?
EVAN WURTZ (DPT) currently maps to El Paso, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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