NPIMap

Organization Active NPI

Evolve Physical Therapy Inc

  • Physical Therapist
  • Aurora, IL
National Provider Identifier
1063167377
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVOLVE PHYSICAL THERAPY INC
Practice address
3600 Thayer CT Ste 500
Aurora, IL 60504-6700
Phone
(815) 343-4152
NPI assigned
Feb 15, 2022
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Janelle Smith, DPTNPI 1891913562
Title
Physical Therapist
Phone
(815) 343-4152

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3600 Thayer CT Ste 500
Aurora, IL 60504-6700

Mailing address

4080 Palmer CT
Naperville, IL 60564-9741
Phone (815) 343-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810003338 IL Part B Supplier - Clinic/Group Practice 6901289875 Receives reassigned benefits from 7 practitioners
Practice locations: Aurora, IL; Yorkville, IL

National Provider Directory

National Provider Directory

Locations

3600 Thayer Ct
Ste 500
Aurora, IL 60504
Phone (630) 453-4052

664 W Veterans Pkwy
Ste D
Yorkville, IL 60560
Phone (630) 453-4052

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1063167377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 PALMER CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649741",
            "telephone_number": "815-343-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 THAYER CT STE 500",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046700",
            "telephone_number": "815-343-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-343-4152",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.