NPIMap

Organization Active NPI

Evans PT and Performance LLC Zackery Wroniuk-Evans Sole MBR

  • Physical Therapy Clinic/Center
  • Mount Royal, NJ
National Provider Identifier
1003618612
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EVANS PT AND PERFORMANCE LLC ZACKERY WRONIUK-EVANS SOLE MBR
Practice address
37 Berkley Rd
Mount Royal, NJ 08061-1017
Phone
(856) 776-1039
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Zackery Wroniuk-Evans, PT, DPTNPI 1508502352
Title
Owner
Phone
(856) 776-1039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

37 Berkley Rd
Mount Royal, NJ 08061-1017

Mailing address

37 Berkley Rd
Mount Royal, NJ 08061-1017
Phone (856) 776-1039

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1003618612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BERKLEY RD",
            "city": "MOUNT ROYAL",
            "state": "NJ",
            "postal_code": "080611017",
            "telephone_number": "856-776-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BERKLEY RD",
            "city": "MOUNT ROYAL",
            "state": "NJ",
            "postal_code": "080611017",
            "telephone_number": "856-776-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS PT AND PERFORMANCE LLC ZACKERY WRONIUK-EVANS SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "WRONIUK-EVANS",
        "authorized_official_first_name": "ZACKERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-776-1039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Royal, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.