Evolution Physical Therapy, Inc
Organization Active NPI Physical Therapist · Los Angeles, CA
NPI 1508049099 · NPPES record last updated Dec 7, 2007
Key facts
- NPI
- 1508049099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- EVOLUTION PHYSICAL THERAPY, INC
- Practice address
- 11901 Santa Monica Blvd
202
Los Angeles, CA 90025-2767 - Phone
- (310) 479-2323
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Darwin Fogt, MPT
- Title
- President
- Phone
- (310) 305-7100
Corporate family (same tax ID) 1
Practitioners 5
-
Meredith Sheaffer Best, PT, DPT
-
Michael Anthony Giunta, PT, DPT, CSCS
-
Celestine Compton, PT, DPT
-
Katie Rebecca Fair, MPT
National Provider Directory
- Tax ID family
- Bebe PT
Locations
11901 Santa Monica Blvd
Ste 202
Los Angeles, CA 90025
Phone (301) 341-4885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
11901 Santa Monica Blvd
202
Los Angeles, CA 90025-2767
Mailing address
322 Culver Blvd
207
Playa del Rey, CA 90293-7704
Phone (310) 305-7100
Other names
- Bebe PT
Other providers in Los Angeles, CA
- Everything Pharmacy Related II Inc
- Evidence Based Psychological Services, Inc.
- Evita Home Health Inc
- Evna Diagnostics Inc
- Evolution Counseling Services
- Evolve Growth Initiatives LLC
- Evolve Growth Initiatives, LLC
- Evolve Hearing Center,PC
- Evolved, Inc.
- Evyatar Evron MD Inc
All providers in Los Angeles, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.