Evolution Spine & Sports Therapy, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38.012838 Issued in IL

Legal business name

EVOLUTION SPINE & SPORTS THERAPY, LLC

Practice address

922 Noyes St
Evanston, IL 60201-2706

Phone

(224) 307-2201

Fax

(224) 304-0881

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Travis Ahrens, D.C.NPI 1376977769

Title

Chiropractic Physician/Owner

Phone

(224) 307-2201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis J Ahrens, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1376977769
  Medicare reassignment Care Compare group NPD Authorized official
• Anthony Almaraz, DC

  • Chiropractor
  • West Chicago, IL
  • NPI 1821821497
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1508224247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NOYES ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012706",
            "telephone_number": "224-307-2201",
            "fax_number": "224-304-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 NOYES ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012706",
            "telephone_number": "224-307-2201",
            "fax_number": "224-304-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION SPINE & SPORTS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "AHRENS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "224-307-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38.012838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evanston Township HDS 202
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• Christine Katherine Everett, PT
• Evergreen Evanston LLC
• Justin Everson, CRNA
• Evolve Behavioral & Mental Health LLC
• Evolve Pharmacy LLC
• Mei-Ling Ewbank, MD
• Ews Internal Medicine, LLC
• Eye Solutions, PC

• Chiropractor in Evanston, IL
• Providers in Evanston, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.