NPIMap

Organization Active NPI

Evolve Physical Therapy & Sports Performance

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1093013922
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7343 Issued in AZ
Legal business name
EVOLVE PHYSICAL THERAPY & SPORTS PERFORMANCE
Practice address
1951 N Wilmot Rd
BLDG 1 Ste 3C
Tucson, AZ 85712-8000
Phone
(520) 977-1516
Fax
(520) 829-4445
NPI assigned
Mar 1, 2011
Last updated
Apr 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Kate M. Warren, DPTNPI 1912007857
Title
Dr. Physical Therapy - Owner
Phone
(520) 977-1516

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7343 AZ Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

1951 N Wilmot Rd
BLDG 1 Ste 3C
Tucson, AZ 85712-8000

Mailing address

1951 N Wilmot Rd
BLDG 1 Ste 3C
Tucson, AZ 85712-8000
Phone (520) 977-1516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121018000472 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254581770 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

7940 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 977-1516

Practitioners & affiliated clinicians

Practitioners 2

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": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1093013922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD",
            "address_2": "BLDG 1 STE 3C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-977-1516",
            "fax_number": "520-829-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD",
            "address_2": "BLDG 1 STE 3C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-977-1516",
            "fax_number": "520-829-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY & SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DR. PHYSICAL THERAPY - OWNER",
        "authorized_official_telephone_number": "520-977-1516",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "7343",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.