Evolve Physical Medicine and Rehabilitation, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EVOLVE PHYSICAL MEDICINE AND REHABILITATION, PC

Doing business as

Evolve Medical

Practice address

1441 Broadway Ste 2403
New York, NY 10018-1905

Phone

(212) 404-8032

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Diana Bello

Title

Insurance Resolution Specialist

Phone

(212) 404-7355

Specialties & licenses 3

Addresses

Other names 1

• Evolve Medical Doing business as

Locations

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1548814742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BROADWAY STE 2403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181905",
            "telephone_number": "212-404-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BROADWAY STE 2403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181905",
            "telephone_number": "212-404-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL MEDICINE AND REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "INSURANCE RESOLUTION SPECIALIST",
        "authorized_official_telephone_number": "212-404-7355"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Ian Evins
• Evoke Psychology, PLLC
• Mary Ellen Evolo, D.M.D.
• Evolution Medicine
• Evolve Health and Wellness
• Evolve Physical Therapy, PLLC (Evolve Physical Therapy and Sports Rehabilitation)
• Evolving Women Psychotherapy LCSW, PLLC
• Julien Evon
• Paul Henry Evora, MS, PT
• Gilad Evrony, MD, PHD

• Physical Medicine & Rehabilitation Physician in New York, NY
• Providers in New York, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.