Evolution Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EVOLUTION PHYSICAL THERAPY LLC

Practice address

1650 Kendrick Ave
Blue Bell, PA 19422-3570

Phone

(717) 371-9249

NPI assigned

Aug 7, 2019

Organization subpart

No

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

Authorized official

Name

Laura Ladlow

Title

Manager

Phone

(717) 371-9249

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1780239541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 KENDRICK AVE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223570",
            "telephone_number": "717-371-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 KENDRICK AVE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223570",
            "telephone_number": "717-371-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "LADLOW",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-371-9249"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Angela Erb, M.S., L.B.S., L.P.C.
• Catherine Esposito
• Ethos Therapy Solutions, Inc.
• Alexandra Anne Evans, D.O.
• Evergreen Pharmacy II, Inc.
• David C Fales
• Kemi Fashina-Leeks
• Suzanne Favours, LCSW
• Robyn Beth Faye, M.D.
• Stephanie G Fine, M.ED., PSY.D.

• Physical Therapy Clinic/Center in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.