Organization Active NPI

Uevolution PT Inc

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1043645567
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
34748 Issued in CA
Legal business name
UEVOLUTION PT INC
Practice address
621 S Spring St
Los Angeles, CA 90014-3908
Phone
(213) 788-2773
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Miss Serryn Tracey
Title
Operations Director
Phone
(310) 880-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 34748 CA Primary

Addresses

Primary practice location

621 S Spring St
Los Angeles, CA 90014-3908

Mailing address

621 S Spring St
Los Angeles, CA 90014-3908
Phone (213) 788-2773

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1043645567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S SPRING ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900143908",
            "telephone_number": "213-788-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S SPRING ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900143908",
            "telephone_number": "213-788-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UEVOLUTION PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "TRACEY",
        "authorized_official_first_name": "SERRYN",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "310-880-5601",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "34748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.