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

Jonald Boyles Evangelista, DPT

Individual provider Physical Therapist · NPI 1770128746

Jonald Boyles Evangelista, DPT is a Physical Therapist in Private Practice in Allen Park, Michigan. Qualified in 2012, 14 years ago. Practices with Michigan Rehabilitation Specialists of Fowlerville LLC, a 125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada and New York.

Years since qualifying
14
Licensed in
NV, NY
In the registry since
2019
Specialties on file
2
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

3157 Fairlane Dr
Allen Park, MI 48101-2866
Phone: (313) 827-0099
Fax: (313) 749-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 N Tenaya Way Ste 180, Las Vegas, NV 89128-1110 — (702) 240-2952

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4240 (NV)
Physical Therapist Taxonomy 225100000X · Licence 032653 (NY)

Record details

NPI number1770128746
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 13, 2019
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Michigan Rehabilitation Specialists Of Fowlerville Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Allen Park