Evelyn C Herrera, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024497 Issued in NY

Practice address

957-963 Atlantic Avenue
Brooklyn, NY 11238

Phone

(917) 670-5261

Fax

(718) 263-2308

NPI assigned

May 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Motiv8 BK LLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1871335059
  NPD Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1720254303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DEAN ST APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131980",
            "telephone_number": "917-972-3463",
            "fax_number": "718-263-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957-963 ATLANTIC AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "917-670-5261",
            "fax_number": "718-263-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Broadway Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122607",
            "country_code": "US",
            "telephone_number": "917-972-3463",
            "fax_number": "844-259-0167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "EVELYN",
        "middle_name": "C",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gipsy Isabel Herrera Izquierdo, MD
• Carla Gabriella Herrera
• Carolina Herrera, LMSW
• Cristina Herrera, LMSW
• Elizabeth Herrera, PT
• Francisco J Herrera, M.D.
• Raul J. Herrera, M.D.
• Roxanne Herrera, R.N.
• Sandra Herrera, R.N.
• Stephanie Marie Herrera, LMSW

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 28, 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.