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

Evan James Michelson

Individual provider Physical Therapist · NPI 1245050798

Evan James Michelson is a Physical Therapist in Private Practice in Kingman, Arizona. Qualified in 1996, 30 years ago. Practices with Bhsm Rehabilitation LLC, a 456-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
30
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

2403 N Stockton Hill Rd Ste 4AND5
Kingman, AZ 86401-4188
Phone: (928) 529-5311
Fax: (928) 529-5313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-010285 (AZ)

Record details

NPI number1245050798
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address2085 Arroyo Vista Ln, Kingman, AZ 86401-8770

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Bhsm Rehabilitation Llc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingman