Evorehab Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EVOREHAB PHYSICAL THERAPY INC

Practice address

2750 Adeline St Ste B
Berkeley, CA 94703-2279

Phone

(817) 992-6060

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Donahue, PT

Title

Sole Proprietor

Phone

(817) 992-6060

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Lisa Chapman, P.T.

  • Physical Therapist
  • Salem, NH
  • NPI 1891986816
  NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1073195251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 IPSWICH RD",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ADELINE ST STE B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032279",
            "telephone_number": "817-992-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOREHAB PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "817-992-6060",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "2750 Adeline St Ste B",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947032279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy M. Evans-Ramsey, M.D.
• William Todd Evans
• Eve Fine Licensed Clinical Social Worker, PC
• Eveline Wu Marriage and Family Therapist Inc
• Evergreen Counseling a Marriage and Family Therapy Corporation (Evergreen Counseling)
• Chelsea Eyre
• Stephanie Theresa Eyre
• Daniel J Ezekiel, L.C.S.W.
• Elena Fabbri, MA
• Alisdeivy Fabelo Abreu

• Physical Therapy Clinic/Center in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.