Organization Active NPI

Evolve Sports Physical Therapy

  • Physical Therapist
  • Andover, KS
National Provider Identifier
1457085870
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVOLVE SPORTS PHYSICAL THERAPY
Practice address
118 E 13TH St
Andover, KS 67002-9323
Phone
(620) 562-0253
NPI assigned
Jul 12, 2022
Last updated
Oct 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Abigail Holmes, PT, DPT, ATCNPI 1699333914
Title
Co-Owner/Doctor of Physical Therapy
Phone
(316) 613-1074

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

118 E 13TH St
Andover, KS 67002-9323

Mailing address

2103 E Clover CT
Andover, KS 67002

National Provider Directory

National Provider Directory

Locations

118 E 13th St
Andover, KS 67002
Phone (620) 562-0253

Practitioners & affiliated clinicians

Practitioners 1

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1457085870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E CLOVER CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "67002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 13TH ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029323",
            "telephone_number": "620-562-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CO-OWNER/DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "316-613-1074",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.