Evolve Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01668600 Issued in NJ

Legal business name

EVOLVE PHYSICAL THERAPY

Practice address

516 Commerce St
Franklin LKS, NJ 07417-1310

Phone

(917) 509-6776

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Marissa S. Chapnick, DPT

Title

Owner/Physical Therapist

Phone

(917) 509-6776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Norey-Miceli, DPT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1356727937
  Medicare reassignment NPD
• Marissa S. Renelle, DPT

  • Physical Therapist
  • Franklin Lakes, NJ
  • NPI 1598051492
  Medicare reassignment NPD
• Adriana Juliet Tandazo, PTA

  • Physical Therapy Assistant
  • Franklin Lakes, NJ
  • NPI 1659859528
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376066514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COMMERCE ST",
            "city": "FRANKLIN LKS",
            "state": "NJ",
            "postal_code": "074171310",
            "telephone_number": "917-509-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 COMMERCE ST",
            "city": "FRANKLIN LKS",
            "state": "NJ",
            "postal_code": "074171310",
            "telephone_number": "917-509-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAPNICK",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-509-6776",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01668600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Joseph a Cucci Family Chiropractor
• Durdana G Gill, DMD
• Talin Ani Hovsepian, LAC
• Cathy G. Lipper, LCSW, DCSW

• Physical Therapy Clinic/Center in Franklin LKS, NJ
• Providers in Franklin LKS, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.