Evolution Home Physical Therapy, P.C.
Organization Active NPI Physical Therapist · Port Jefferson, NY
NPI 1477564599 · NPPES record last updated Oct 29, 2023
Key facts
- NPI
- 1477564599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- EVOLUTION HOME PHYSICAL THERAPY, P.C.
- Practice address
- 7 Waterview Dr
Port Jefferson, NY 11777-1169 - Phone
- (631) 513-9475
- Fax
- (631) 689-5828
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Scott Richard Lindsay, PT, DPT
- Title
- Director
- Phone
- (631) 513-9475
Practitioners 34
-
Scott Richard Lindsay, PT, DPT
-
Sharon Bendzlowicz-Vogt, OTR/L
-
Trinity Grasso, PT, DPT, CSCS
-
Mark Guzman, OTR/L
-
Marc S Sheinblum, DPT
-
Caryn L Blum, MPT
-
Stacey R Leeds, PT
-
David Nieves, PT
-
Albert Sagnella, MAPT
-
Susan Thomas, P.T
-
Michele Dawn Buddenhagen, P.T.
-
John A Catricala, PT
-
Kathleen Chung, OTRL
-
Rex Ongoco Cruz, LPT
-
Brian Dwyer, P.T.
-
Steven A Gazzo, MAPT
-
Gary Gibbs, P.T.
-
James Joseph Greico, PT,MS,OCS,DPT
-
Judy A Hermann, MSPT
-
Pamela Ann Kovar Toledano, PT ED.D
-
Dorothy Maritato, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060223000343 | NY | Part B Supplier - Clinic/Group Practice | 5092721381 |
Receives reassigned benefits from 11 practitioners Practice locations: Port Jefferson, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
7 Waterview Dr
Port Jefferson, NY 11777-1169
Mailing address
7 Waterview Dr
Port Jefferson, NY 11777-1169
Phone (631) 513-9475
Other practice location 1
12 Platinum Ct
Medford, NY 11763-2247
Phone (631) 320-1111
Other providers in Port Jefferson, NY
- Susan S Emanuele
- Jennifer Englebright
- Hilda Lucrecia Enriquez
- Erin Equinozzi
- Kristin Ericson
- Evolve Healthcare Partners
- Extendacare Inc.
- Ralph F Fabiani
- George G Fairey
- Family Medical Wellness PC
All providers in Port Jefferson, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.