Organization Active NPI

Evolve Athlete Recovery Inc

  • Massage Therapist
  • Livonia, MI
National Provider Identifier
1720827082
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
EVOLVE ATHLETE RECOVERY INC
Practice address
39325 Plymouth Rd Ste 205
Livonia, MI 48150-4531
Phone
(734) 717-1332
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Corrine Foster, LMTNPI 1942611827
Title
Owner/Lead Therapist
Phone
(734) 717-1332

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
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

39325 Plymouth Rd Ste 205
Livonia, MI 48150-4531

Mailing address

39325 Plymouth Rd Ste 205
Livonia, MI 48150-4531
Phone (734) 717-1332

National Provider Directory

National Provider Directory

Locations

39325 Plymouth Rd
Ste 205
Livonia, MI 48150
Phone (734) 717-1332

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": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1720827082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39325 PLYMOUTH RD STE 205",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504531",
            "telephone_number": "734-717-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39325 PLYMOUTH RD STE 205",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504531",
            "telephone_number": "734-717-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE ATHLETE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CORRINE",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "734-717-1332",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.