Evolution Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVOLUTION PHYSICAL THERAPY LLC

Doing business as

Evolution physical therapy

Practice address

28379 Captiva Shell Loop
Bonita Springs, FL 34135-9064

Phone

(205) 566-3365

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Ardalan Sadeghi Amini

Title

PT

Phone

(205) 566-3365

Specialties & licenses 1

Addresses

Other names 1

• Evolution physical therapy Doing business as

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1194486142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28379 CAPTIVA SHELL LOOP",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359064",
            "telephone_number": "205-566-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28379 CAPTIVA SHELL LOOP",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359064",
            "telephone_number": "205-566-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SADEGHI AMINI",
        "authorized_official_first_name": "ARDALAN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "205-566-3365"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolution physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.