Evolve PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT28676 Issued in FL

Legal business name

EVOLVE PT, LLC

Practice address

18001 Collins Ave
2ND Floor Spa
Sunny Isles Beach, FL 33160-2722

Phone

(786) 777-8828

NPI assigned

Jun 21, 2016

Last updated

Oct 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcos Enmanuel Munoz, DPTNPI 1417386517

Title

Managing Partner

Phone

(305) 588-9064

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Marcos Enmanuel Munoz, DPT

  • Physical Therapist
  • Sunny Isles Beach, FL
  • NPI 1417386517
  NPD Authorized official
• Kevin Matthew Lopez, MSOT

  • Occupational Therapist
  • Sunny Isles Beach, FL
  • NPI 1215449103
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1417307307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 NE 2ND ST APT 2208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322294",
            "telephone_number": "305-588-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 COLLINS AVE",
            "address_2": "2ND FLOOR SPA",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602722",
            "telephone_number": "786-777-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "ENMANUEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "305-588-9064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT28676",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Engelman, COTA/L
• Miriam Estevez, M.D.
• Excel Neurotech Inc
• F&S Radiology, PC
• Farah Medical, LLC
• Ivgenija Fastovsky, M.D.
• Jesse Feder, RD/LD

• Physical Therapy Clinic/Center in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.