Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evan Tirtaputra, DPT

Individual provider Physical Therapist · NPI 1083001234

Dr. Evan Tirtaputra, DPT is a Physical Therapist in Private Practice in Elkton, Maryland. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 4 locations and accepts Medicare assignment. Licensed in Delaware, Idaho and Maryland.

Years since qualifying
12
Licensed in
DE, ID, MD
In the registry since
2015
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

137 W High St Ste 3
Elkton, MD 21921
Phone: (410) 392-7027
Fax: (410) 392-5768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5345 Irwindale Ave, Irwindale, CA 91706 — (626) 960-5361
  • 810 S Broom St, Wilmington, DE 19805-4245 — (302) 652-1181
  • 810 S Broom St, Wilmington, DE 19805-4245 — (302) 652-1181

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27800 (MD)
Physical Therapist Taxonomy 225100000X · Licence PT-3844 (ID)
Physical Therapist Taxonomy 225100000X · Licence J1-0003931 (DE)

Record details

NPI number1083001234
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedApril 24, 2015
Last updated in NPPESNovember 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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