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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Evan Tirtaputra, DPT

Physical Therapist in Elkton, MD · enumerated 2015 · practices at Ati Holding LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083001234

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Registry record

Entity type Individual (Type 1)
Name Dr. Evan Tirtaputra
Credential DPT
Sex Male
Practice address Elkton, MD, 21921
Phone (410) 392-7027
Fax (410) 392-5768
Enumeration date Apr 24, 2015
Last updated in NPPES Nov 26, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT-3844 (ID) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 27800 (MD) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License J1-0003931 (DE) Secondary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession. About the DPT credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Evan Tirtaputra?
The National Provider Identifier (NPI) for Evan Tirtaputra is 1083001234, a Type 1 (individual) record in the CMS NPPES registry.
Where does Evan Tirtaputra practice?
The practice location on file with NPPES is in Elkton, MD. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-11-26.