Evelyn S. Co, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT27309 Issued in CA

Practice address

16271 Beach Blvd
Huntington Beach, CA 92647-4102

Phone

(714) 375-1755

Fax

(714) 375-1757

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recovercare Therapy Group, Inc.Group PAC ID 9133023443, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Recovercare Therapy Group, Inc.

  • Physical Therapist
  • Norwalk, CA
  • NPI 1659301935
  Medicare reassignment Care Compare group NPD
• Recovercare Therapy Group, Inc.

  • Physical Therapist
  • Buena Park, CA
  • NPI 1508802471
  NPD
• Active Sports Rehab Physical Therapy, Inc.

  • Physical Therapist
  • Buena Park, CA
  • NPI 1194309542
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1730375957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16271 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474102",
            "telephone_number": "714-375-1755",
            "fax_number": "714-375-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16271 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474102",
            "telephone_number": "714-375-1755",
            "fax_number": "714-375-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "EVELYN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT27309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT27309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleve S Mackenzie MD a Medical Corporation
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• Cloudmover Inc.
• Cntrd Counseling
• Ed Justin Co
• James Grant Coad
• Kathy Coakley, A.T.C.
• Coast Anesthesiology Associates Inc
• Coast DME Corp
• Coast Multi Specialty Surgery Center Inc.

• Specialist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.