NPIMap

Organization Active NPI

Evolve Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Stockton, CA
National Provider Identifier
1710474366
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
291494 Issued in CA
Legal business name
EVOLVE PHYSICAL THERAPY PC
Practice address
3200 E Eight Mile Rd
Stockton, CA 95212-9414
Phone
(209) 817-2017
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Miss Rebecca Marie Turner, DPT, PTNPI 1184072969
Title
Owner
Phone
(209) 817-2017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 291494 CA Primary

Addresses

Primary practice location

3200 E Eight Mile Rd
Stockton, CA 95212-9414

Mailing address

460 N Tuxedo Ave
Stockton, CA 95204-5238

National Provider Directory

National Provider Directory

Locations

3200 E Eight Mile Rd
Stockton, CA 95212
Phone (209) 365-3248

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1710474366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N TUXEDO AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E EIGHT MILE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129414",
            "telephone_number": "209-817-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-817-2017",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "291494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.