Evolve Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EVOLVE WELLNESS

Practice address

3830 W River Rd Ste 106
Tucson, AZ 85741-3793

Phone

(520) 638-6277

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kate O'Reilly

Title

President

Phone

(520) 345-7776

Specialties & licenses 1

Addresses

Other names 1

• Evolve Tactical Doing business as

Locations

Practitioners 2

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

• Kate Marie Warren, DPT

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
  • NPI 1912007857
  NPD
• Ryan Jason Stern, PTA

  • Physical Therapy Assistant
  • Tucson, AZ
  • NPI 1275239162
  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1508487604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W RIVER RD STE 106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413793",
            "telephone_number": "520-638-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W RIVER RD STE 106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413793",
            "telephone_number": "520-638-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-345-7776",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Tactical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Everson, MSW
• Charles S. Everts, MD
• Evo MD PLLC
• Evo Solutions Youth&Family Services
• Evolve Physical Therapy & Sports Performance
• Evolved, LLC
• Julie Ann Ewing, PH.D.
• Sharon Ewing, FNP
• Gordon A Ewy, MD
• Excel Physical Therapy

• Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.