Evolve Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

EVOLVE PHYSICAL THERAPY

Practice address

1415 12TH Ave
Seattle, WA 98122-3905

Phone

(248) 568-6626

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Stacey Schwartz, PTNPI 1114473915

Title

Physical Therapist

Phone

(248) 568-6626

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Stacey Schwartz, DPT

  • Physical Therapist
  • Berkley, MI
  • NPI 1114473915
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1144845025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 10TH AVE E # 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025708",
            "telephone_number": "248-568-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223905",
            "telephone_number": "248-568-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-568-6626",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114473915",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evolve-physio.com",
            "affiliation": "N",
            "address_1": "120 10th Ave E # 206",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981025708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evidence Based Treatment Centers of Seattle
• Evidence Based Treatment Centers of Seattle, PLLC
• Evie Lawson, OD, PS (Eyes on You)
• Evolve Chiropractic Studio PLLC
• Evolve Intensive Therapy
• Evolve Psychiatry PC
• Karen Marie Evoniuk
• Evyenia Kollia DMD PLLC
• Justin Ewald, MD
• Robert Ewanio, SUDP

• Orthopedic Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.