Ben Evardome, PTA
NPI 1164754875 · Physical Therapy Assistant · Yucaipa, CA
Ben Evardome, PTA is a Physical Therapy Assistant provider in Yucaipa, CA (NPI 1164754875).
Provider details
- NPI number
- 1164754875
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT6602 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-02-04
- Last updated
- 2010-02-04
Frequently asked questions
- What is Ben Evardome's NPI number?
- Ben Evardome's National Provider Identifier (NPI) is 1164754875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ben Evardome's specialty?
- Ben Evardome is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ben Evardome located?
- Ben Evardome's practice location on file with NPPES is 34835 Fairport Way, Yucaipa, CA 92399-6817.
- What is Ben Evardome's phone number?
- The practice phone number listed in the NPPES registry for Ben Evardome is (909) 570-9573.
- Is Ben Evardome's NPI active?
- Yes — Ben Evardome's NPI (1164754875) is active in the NPPES registry as of the last update on 2010-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.