Organization Active NPI

Evolve Physical Therapy of Rochester PLLC

  • Physical Therapist
  • Pittsford, NY
National Provider Identifier
1740860857
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVOLVE PHYSICAL THERAPY OF ROCHESTER PLLC
Practice address
141 Sullys TRL Ste 3
Pittsford, NY 14534-4563
Phone
(617) 997-2661
NPI assigned
Apr 12, 2021
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mrs. Jennifer Morin, MSPT, OCSNPI 1720101009
Title
Physical Therapist/Co-Owner
Phone
(585) 203-1320

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 Therapist 225100000X Primary

Addresses

Primary practice location

141 Sullys TRL Ste 3
Pittsford, NY 14534-4563

Mailing address

141 Sullys TRL Ste 3
Pittsford, NY 14534-4563
Phone (585) 203-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210707002894 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244632628 Receives reassigned benefits from 8 practitioners
Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory

Locations

141 Sullys Trl
Ste 3
Pittsford, NY 14534
Phone (585) 203-1320

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1740860857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL STE 3",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "585-203-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL STE 3",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "617-997-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY OF ROCHESTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "585-203-1320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.