Organization Active NPI

Evolve Therapy & Wellness LLC

  • Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1235853326
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
EVOLVE THERAPY & WELLNESS LLC
Practice address
8040 E Morgan TRL Ste 10a
Scottsdale, AZ 85258-1221
Phone
(480) 219-6977
NPI assigned
Oct 3, 2022
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Tiffany Fought, MS CCC-SLP OTR/L OTDNPI 1154570976
Title
Owner
Phone
(602) 758-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

8040 E Morgan TRL Ste 10a
Scottsdale, AZ 85258-1221

Mailing address

8040 E Morgan TRL Ste 10a
Scottsdale, AZ 85258-1221
Phone (480) 219-6977

National Provider Directory

National Provider Directory

Locations

8040 E Morgan Trl
Ste 10A
Scottsdale, AZ 85258
Phone (480) 219-6977

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1235853326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 E MORGAN TRL STE 10A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581221",
            "telephone_number": "480-219-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 E MORGAN TRL STE 10A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581221",
            "telephone_number": "480-219-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "FOUGHT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-758-0800",
        "authorized_official_credential": "MS CCC-SLP OTR/L OTD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.