Active NPI
R-Evolve Physical Therapy P.C.
- Physical Therapy Clinic/Center
- White Plains, NY
National Provider Identifier
1285982835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 031217
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174757389 | Other | NY | NATIONAL PROVIDER IDENTIFIER |
| 031217 | Other | NY | NYS LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.