Organization Active NPI

R-Evolve Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • White Plains, NY
National Provider Identifier
1285982835
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
031217 Issued in NY
Legal business name
R-EVOLVE PHYSICAL THERAPY P.C.
Practice address
125 Lake St
Apt 8GN
White Plains, NY 10604-2419
Phone
(518) 669-1856
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Robert T Lemyre, DPT
Title
Owner/President
Phone
(518) 669-1856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 031217 NY Primary

Addresses

Primary practice location

125 Lake St
Apt 8GN
White Plains, NY 10604-2419

Mailing address

125 Lake St
Apt 8GN
White Plains, NY 10604-2419
Phone (518) 669-1856

Other identifiers 2

IdentifierTypeStateIssuer
1174757389OtherNYNATIONAL PROVIDER IDENTIFIER
031217OtherNYNYS LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1285982835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAKE ST",
            "address_2": "APT 8GN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042419",
            "telephone_number": "518-669-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LAKE ST",
            "address_2": "APT 8GN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042419",
            "telephone_number": "518-669-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R-EVOLVE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "LEMYRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "518-669-1856",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "031217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1174757389",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "031217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.