Evergreen Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVERGREEN PHYSICAL THERAPY PC

Practice address

470 Nepperhan Ave
Yonkers, NY 10701-6651

Phone

(318) 542-1287

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Nestor LaysaNPI 1740479799

Title

President

Phone

(318) 542-1287

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Nestor A Laysa, PT

  • Physical Therapist
  • Far Rockaway, NY
  • NPI 1740479799
  Medicare reassignment Care Compare group Authorized official
• Irsam Yape Doligon, PHYSICAL THERAPIST

  • Physical Therapy Assistant
  • Bronx, NY
  • NPI 1417326067
  Medicare reassignment Care Compare group
• Jose Vince Ambion, PT

  • Physical Therapist
  • New York, NY
  • NPI 1679284434
  NPD
• Nina Darrylou Caybot, PT

  • Physical Therapist
  • New York, NY
  • NPI 1578203006
  NPD
• Lord Prince Laurie Gabasa

  • Physical Therapist
  • Bronx, NY
  • NPI 1558283036
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1699030718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 190TH ST",
            "address_2": "APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NEPPERHAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016651",
            "telephone_number": "318-542-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "LAYSA",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-542-1287"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Evans
• Florence Evbuomwan
• Irenegbe Evbuomwan, LPN
• Patricia Evbuomwan
• Evelyn Olivo Mental Health Counseling PLLC
• Janine Renee Everts-Carolini, CCC-SLP
• Carissa Ewers, MSW
• Charity Excel Okechukwu
• Exceldent of Westchester , LLP
• Exceptional Imaging LLC

• Physical Therapist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.