Evolve Pelvic Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVOLVE PELVIC WELLNESS LLC

Practice address

909 W Bridge St
Wausau, WI 54401-2937

Phone

(715) 348-3891

NPI assigned

Apr 23, 2022

Last updated

Apr 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carly Feltz, DPTNPI 1902272487

Title

Owner

Phone

(715) 349-3891

Specialties & licenses 1

Addresses

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.

• Carly Feltz

  • Physical Therapist
  • Palmetto, FL
  • NPI 1902272487
  NPD Authorized official

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650672000000",
    "number": "1518601897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W BRIDGE ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012937",
            "telephone_number": "715-348-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W BRIDGE ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012937",
            "telephone_number": "715-348-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PELVIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A",
        "authorized_official_last_name": "FELTZ",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-349-3891",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wausau, WI
• Providers in Wausau, WI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.