Evan Motlong

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

64894 Issued in OR

Practice address

240 NW 25TH St
Miami, FL 33127-4341

Phone

(303) 993-9884

NPI assigned

Jul 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Premier Athlete

  dba Elite Performance Rehab LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1235966045
  NPD Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1598499451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274341",
            "telephone_number": "303-993-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274341",
            "telephone_number": "303-993-9884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 SW 30th St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973318629",
            "country_code": "US",
            "telephone_number": "541-768-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTLONG",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "64894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mothers Years Inc
• Younes Motii, MD
• Motion Accelerate LLC
• Motivating Lives Mental Health Services LLC
• Motivating Lives Mental Health Services LLC
• Gabriel Motoa Cardona, MD
• Ivette Motola, MD, MPH
• Safder Motorwala, RPH
• Shabbir Motorwala, R.PH.
• Adriana Motta

• Orthopedic Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.