Evolve Flagstaff LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EVOLVE FLAGSTAFF LLC

Practice address

123 W Birch Ave Ste 100
Flagstaff, AZ 86001-4508

Phone

(928) 793-6237

Fax

(928) 366-5976

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brian Kinslow, PT, DPT

Title

Owner, Physical Therapist

Phone

(928) 326-0316

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1114480183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W BIRCH AVE STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014508",
            "telephone_number": "928-793-6237",
            "fax_number": "928-366-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W BIRCH AVE STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014508",
            "telephone_number": "928-793-6237",
            "fax_number": "928-366-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE FLAGSTAFF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "KINSLOW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-326-0316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Allen Eurich
• Nancy Marie Evans, MA, NCSP
• Robert M Evans, PA-C
• Marilee Eveleth, LAC
• Shelley Lee Everly, M.D.
• Adam Christopher Fajardo
• Eddie Walid Fakhouri, MD
• Family Care Home Health and Hospice
• Family Involvement Center, Inc
• Linda S Farella, M.S.

• Physical Therapy Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.