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

Evan Alphonso

Individual provider Physical Therapist · NPI 1508752916

Evan Alphonso is a Physical Therapist in Private Practice in New Orleans, Louisiana. Qualified in 2025, 1 year ago. Practices with Magnolia Physical Therapy, LLC, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

2372 Saint Claude Ave Ste 104
New Orleans, LA 70117-8377
Phone: (504) 733-0254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1508752916
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address5606 Jefferson Hwy, Harahan, LA 70123-5111

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Magnolia Physical Therapy, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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