NPIMap

Organization Active NPI

Evolution Sports Physiotherapy, Inc.

  • Physical Therapy Clinic/Center
  • Cockeysville, MD
National Provider Identifier
1366694705
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
20554 Issued in MD
Legal business name
EVOLUTION SPORTS PHYSIOTHERAPY, INC.
Practice address
10540 York Rd
Suite F-G
Cockeysville, MD 21030-2300
Phone
(410) 628-0520
NPI assigned
Oct 16, 2008
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Dr. Morgan Sandford Johnson Jr., DPTNPI 1750490256
Title
Owner/ Clinical Director
Phone
(410) 628-0520

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
Physical Therapy Clinic/Center 261QP2000X 20554 MD Primary

Addresses

Primary practice location

10540 York Rd
Suite F-G
Cockeysville, MD 21030-2300

Mailing address

10540 York Rd
Suite F-G
Cockeysville, MD 21030-2300
Phone (410) 628-0520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090929000283 MD Part B Supplier - Clinic/Group Practice 0648326918 Receives reassigned benefits from 3 practitioners
Practice locations: Cockeysville, MD

National Provider Directory

National Provider Directory

Locations

10540 York Rd
Ste F
Cockeysville, MD 21030
Phone (410) 628-0520

10540 York Rd
Ste Fg
Cockeysville, MD 21030
Phone (410) 628-0520

Practitioners & affiliated clinicians

Practitioners 6

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1366694705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 YORK RD",
            "address_2": "SUITE F-G",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302300",
            "telephone_number": "410-628-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 YORK RD",
            "address_2": "SUITE F-G",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302300",
            "telephone_number": "410-628-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION SPORTS PHYSIOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "SANDFORD",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-628-0520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.