Active NPI
Evolution Physical Therapy, P.C.
- Physical Therapy Clinic/Center
- Pearl River, NY
National Provider Identifier
1730419706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 027446-1
- Legal business name
- EVOLUTION PHYSICAL THERAPY, P.C.
- Practice address
- 300 N Middletown Rd Ste 2
Pearl River, NY 10965-1295 - Phone
- (845) 494-1825
- NPI assigned
- Jan 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eva Larino
- Title
- Owner
- Phone
- (845) 494-1825
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 027446-1 | NY | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | 030442-1 | NY |
Addresses
Primary practice location
300 N Middletown Rd Ste 2
Pearl River, NY 10965-1295
Mailing address
6 Rockford Dr
West Nyack, NY 10994-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
136 E 57th St
Ste 705
New York, NY 10022
Phone (212) 207-3177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pearl River, NY
- NPI 1629267281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1730419706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ROCKFORD DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N MIDDLETOWN RD STE 2",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651295",
"telephone_number": "845-494-1825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLUTION PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-13",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "LARINO",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-494-1825"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "027446-1",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "030442-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.