Individual provider · Type 1 NPI

Charles Edward Evans Iii, P.T.A.

Physical Therapy Assistant · Camilla, GA

NPI number 1912976440 Active

Practice location

130 E Broad St
Camilla, GA 31730-1809

Call (229) 336-1115 Map

Fax (229) 336-1151

Mailing address

140 Saint Clair Dr
Leesburg, GA 31763-3225

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA001256 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1912976440

Charles Edward Evans Iii, P.T.A.'s National Provider Identifier is 1912976440, issued on Mar 16, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Camilla, GA. The record was last updated on Jul 13, 2026.