Evan Mazur
NPI 1215452479 · Physical Therapist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evan Mazur is a Physical Therapist provider in Grand Rapids, MI (NPI 1215452479).
Provider details
- NPI number
- 1215452479
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTL.0013686 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
8 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
- 2017-08-09
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Frequently asked questions
- What is Evan Mazur's NPI number?
- Evan Mazur's National Provider Identifier (NPI) is 1215452479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Mazur's specialty?
- Evan Mazur is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Evan Mazur located?
- Evan Mazur's practice location on file with NPPES is 4085 Burton St Se Ste 100, Grand Rapids, MI 49546-2444.
- What is Evan Mazur's phone number?
- The practice phone number listed in the NPPES registry for Evan Mazur is (616) 233-3599.
- Does Evan Mazur accept Medicare?
- Evan Mazur is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Evan Mazur's NPI active?
- Yes — Evan Mazur's NPI (1215452479) is active in the NPPES registry as of the last update on 2025-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.