NPPES file of Aug 9, 2026

Evan Walsh Mazur

Physical Therapist · Grand Rapids, MI

Evan Walsh Mazur is a physical therapist with a practice address in Grand Rapids, Michigan, and NPI 1215452479, issued on Aug 9, 2017. Check the license (Michigan 5501303510, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1215452479
Name
Evan Walsh Mazur
Primary taxonomy
Physical Therapist 225100000X
License numbers
5501303510 MI
PTL.0013686 CO
Self-reported in NPPES; status is on the state search
Practice location
4085 Burton St SE Ste 100, Grand Rapids, MI 49546
Phone
(616) 233-3599
Enumerated
Aug 9, 2017
Record last updated
Feb 5, 2025
Fax
(616) 385-6030
Medicare enrollment
Enrolled (PECOS I20241231000478); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4085 Burton St SE Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Gibson, DPTPhysical Therapist1174277073
  2. Leslie Givens, PTPhysical Therapist1013386077
  3. Mical Knafel, DPTPhysical Therapist1902782998
  4. Jukka Pietila, PTPhysical Therapist1245274547
  5. Amanda Sodini, DPTPhysical Therapist1831642537

Verify Evan Walsh Mazur in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 5501303510
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Advent Rehabilitation, LLCGrand Rapids, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Evan Walsh Mazur among 9,592 physical therapist records in Michigan

Evan Walsh Mazur is one of 9,592 physical therapist records with a practice address in Michigan. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 48% of them.

  • NPI issued2017 · 48% of these records are older, 49% newer
  • In a Medicare fileYes · 31% of these records are
  • In the CMS Doctors and Clinicians fileYes · 32% of these records are
  • Graduated2015 · median 2015 among the 3,075 with a school on file
  • Record last updated2025 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

651 physical therapist records list a practice address in Grand Rapids

They are 651 of the 18,005 NPPES records with a practice address in Grand Rapids, and 9,592 physical therapist records in Michigan.

The 8 physical therapist records with the nearest ZIP codes

  1. Jennifer Campisi, MPTGrand Rapids, MI 495461164440764
  2. Alicia Canos-Torres, PT, MOMTGrand Rapids, MI 495461700832805
  3. Christine Eardley, PTGrand Rapids, MI 495461154403889
  4. Rita Graham, PTGrand Rapids, MI 495461881641603
  5. Scott Henderson, PTGrand Rapids, MI 495461720178940
  6. Tella Minkkinen, PTGrand Rapids, MI 495461003860404
  7. Christopher Nawrocki, M.S.P.T., OCSGrand Rapids, MI 495461972678076
  8. Sakari Perttula, PTGrand Rapids, MI 495461902859754

Common questions

What is Evan Walsh Mazur's NPI number?

Evan Walsh Mazur's National Provider Identifier (NPI) is 1215452479, issued on Aug 9, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Evan Walsh Mazur located?

The NPPES record lists a practice address at 4085 Burton St SE Ste 100, Grand Rapids, MI, 49546. Phone: (616) 233-3599. Providers update this record themselves, so call before visiting.

How can I verify Evan Walsh Mazur's license?

NPPES lists Michigan license number 5501303510, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.