Individual provider Active NPI

Meaghan Rieke Evola, PT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1124531223
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211361 Issued in VA
Practice address
803 W Broad St Ste 100
Falls Church, VA 22046-3131
Phone
(571) 378-1272
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305211361 VA Primary
Physical Therapist 225100000X 26750 MD

Addresses

Primary practice location

803 W Broad St Ste 100
Falls Church, VA 22046-3131

Mailing address

803 W Broad St Ste 100
Falls Church, VA 22046-3131
Phone (571) 378-1272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26750MDMDPhysical Therapist
2305211361VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Therapy Services, LLC Physical Therapist PastSince Apr 19, 2020 Accepting new patients
The Children'S Therapy Center, LLC PastSince Apr 19, 2020 Accepting new patients
Montgomery Pediatric Physical Therapy Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1124531223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W BROAD ST STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463131",
            "telephone_number": "571-378-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W BROAD ST STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463131",
            "telephone_number": "571-378-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVOLA",
        "first_name": "MEAGHAN",
        "middle_name": "RIEKE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211361",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.