Evolved Living Therapy PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EVOLVED LIVING THERAPY PLLC

Practice address

1205 S Stevens St
Tacoma, WA 98405-1125

Phone

(425) 405-0849

NPI assigned

Oct 4, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josephine Jarvis Ma

Title

Occupational Therapist Owner

Phone

(425) 405-0849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1811669344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S STEVENS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S STEVENS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051125",
            "telephone_number": "425-405-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVED LIVING THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "JARVIS MA",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST OWNER",
        "authorized_official_telephone_number": "425-405-0849"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Louise Everton, MD
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• Christy L Evilsizor, ARNP
• Evolve Nutrition
• Evolve Nutrition PLLC
• Andrea J Ewalt
• Jessica Ann Ewalt
• Garth Blaine Ewen
• Andrea Jean Ewing, PHARMD
• Richard A Ewing, O.D.

• Occupational Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.