NPIMap

Organization Active NPI

Evolve Physical Therapy, PLLC

Doing business as Evolve Physical Therapy and Sports Rehabilitation

  • Point of Service
  • New York, NY
National Provider Identifier
1215216288
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
EVOLVE PHYSICAL THERAPY, PLLC
Doing business as
Evolve Physical Therapy and Sports Rehabilitation
Practice address
1317 3Rd Ave FL 9
New York, NY 10021-2963
Phone
(917) 541-9054
NPI assigned
Aug 9, 2011
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Mr. Greg Babiec, PT, MSPTNPI 1811912314
Title
Co Directior
Phone
(646) 552-1664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

1317 3Rd Ave FL 9
New York, NY 10021-2963

Mailing address

1317 3Rd Ave FL 9
New York, NY 10021-2963
Phone (917) 541-9054

Other names 1

  • Evolve Physical Therapy and Sports Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111019000152 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668644527 Receives reassigned benefits from 24 practitioners
Practice locations: Chappaqua, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

295 Robbins Ln
Syosset, NY 11791
Phone (212) 439-1596

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1215216288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212963",
            "telephone_number": "917-541-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212963",
            "telephone_number": "917-541-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "BABIEC",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CO DIRECTIOR",
        "authorized_official_telephone_number": "646-552-1664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MSPT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Physical Therapy and Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evolve Physical Therapy and Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.