Evolve Physical Therapy, PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVOLVE PHYSICAL THERAPY, PLC

Practice address

192 Allan Ridge Rd
Morristown, VT 05661-8680

Phone

(856) 220-1460

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Lori Gottlieb, PT, DPTNPI 1497168058

Title

Physical Therapist, Owner

Phone

(856) 220-1460

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.

• Lori Mae Gottlieb, PT, DPT

  • Physical Therapist
  • Morristown, VT
  • NPI 1497168058
  NPD Authorized official

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1639780489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 ALLAN RIDGE RD",
            "city": "MORRISTOWN",
            "state": "VT",
            "postal_code": "056618680",
            "telephone_number": "856-220-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "856-220-1460",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaina Brooks, MT
• Experiential Counseling LLC
• Lori Mae Gottlieb, PT, DPT
• Ahnna Lake, M.D.
• Jamie Long, L.AC.
• Katherine Spalding Long, MS

• All providers in Morristown, VT
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.