Evolution Alternative Physical Therapy & Wellness Studio LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012999L Issued in PA

Legal business name

EVOLUTION ALTERNATIVE PHYSICAL THERAPY & WELLNESS STUDIO LLC

Doing business as

Evolution Physical Therapy

Practice address

2510 7TH Avenue
Altoona, PA 16602-2004

Phone

(814) 944-6535

Fax

(814) 944-6545

NPI assigned

Jul 22, 2006

Last updated

Oct 2, 2024By 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

Cameron J Cheers

Title

Pta/ Vice President

Phone

(814) 944-6535

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Evolution Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Lindsay C Bainey, MPT

  • Physical Therapist
  • Altoona, PA
  • NPI 1801049655
  Medicare reassignment Care Compare group NPD
• Kathryn Barton Greenberg, PT, DPT

  • Physical Therapist
  • Altoona, PA
  • NPI 1871964577
  Medicare reassignment Care Compare group NPD
• Nikki N Davis, DPT

  • Physical Therapist
  • Altoona, PA
  • NPI 1831320449
  NPD
• Dawn C McClellan, MSPT

  • Physical Therapist
  • Altoona, PA
  • NPI 1841253226
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1093736225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 7TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022004",
            "telephone_number": "814-944-6535",
            "fax_number": "814-944-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 7TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022004",
            "telephone_number": "814-944-6535",
            "fax_number": "814-944-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION ALTERNATIVE PHYSICAL THERAPY & WELLNESS STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CHEERS",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PTA/ VICE PRESIDENT",
        "authorized_official_telephone_number": "814-944-6535"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012999L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103723387-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103712991-0002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018563450006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103712991-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00314995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolution Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Espy
• Mary Angelynne Garcia Esquivel, MD
• Johnna Rose Estep
• Alyshia Louise Evans, RN, CRNP
• Jill Evans
• Evolution Counseling Services, LLC
• Eyedoc Associates, LLC (EyeDoc)
• Fairway Primary Care, LLC
• Mildred Therese Fajardo, M.D.
• Family Services Incorporated

• Physical Therapist in Altoona, PA
• Providers in Altoona, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.