Evergreen Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005239 Issued in MI

Legal business name

EVERGREEN PHYSICAL THERAPY PC

Practice address

611 Howard St
Kalamazoo, MI 49008-1919

Phone

(269) 381-0737

Fax

(269) 381-5120

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Van Dril Swain, PT

Title

Physical Therapist

Phone

(269) 381-0737

Specialties & licenses 1

Addresses

Practitioners 1

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

• Adam T Swain, PT OCS ATC

  • Physical Therapist
  • Kalamazoo, MI
  • NPI 1093829897
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1073719845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-381-0737",
            "fax_number": "269-381-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-381-0737",
            "fax_number": "269-381-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "VAN DRIL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "269-381-0737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Jo Evans, FNP
• Trisha Evans, BCBA
• Amelia Louise Evenhouse, P.A.
• Elizabeth K Everett, FNP
• Jonathan Timothy Everett
• Kristin Lynn Evers, LMSW
• Everside Health, LLC
• Elizabeth J Eves, MS, OTR
• Suzanne Christine Evink, MA, LPC, LMFT, NCC
• Evoke Psychotherapy PLLC

• Physical Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.