Active NPI
Evolve Sports Physical Therapy
- Physical Therapist
- Andover, KS
National Provider Identifier
1457085870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2022
- 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
- Abigail Holmes, PT, DPT, ATC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Manhattan, KS
- NPI 1699333914
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.