Organization Active NPI

Evolutions Therapy LLC

  • Rehabilitation Clinic/Center
  • Edinburg, TX
National Provider Identifier
1790965697
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EVOLUTIONS THERAPY LLC
Practice address
5225 S McColl Rd
Edinburg, TX 78539-9168
Phone
(956) 627-2142
Fax
(956) 627-2301
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Ms. Janet Songalia Tan, PTNPI 1780763169
Title
Administrator/Ceo
Phone
(956) 627-0846

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5225 S McColl Rd
Edinburg, TX 78539-9168

Mailing address

5225 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 627-2142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000657 TX Part B Supplier - Clinic/Group Practice 1254414188 Receives reassigned benefits from 6 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

5307 S McColl Rd
Edinburg, TX 78539
Phone (956) 605-5481

Practitioners & affiliated clinicians

Practitioners 7

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1790965697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-627-2142",
            "fax_number": "956-627-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399168",
            "telephone_number": "956-627-2142",
            "fax_number": "956-627-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "SONGALIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "956-627-0846",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.