Evolve Physical Therapy and Sports Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EVOLVE PHYSICAL THERAPY AND SPORTS CENTER INC

Practice address

1103 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613-3924

Phone

(512) 918-0044

Fax

(512) 918-0045

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Michael Charles Gayle, PT, MA, OCS

Title

Owner

Phone

(512) 918-0044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1811946023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044",
            "fax_number": "512-918-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044",
            "fax_number": "512-918-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY AND SPORTS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-918-0044",
        "authorized_official_credential": "PT, MA, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Lee Evans
• Mitchell D Evans, MD
• Thembi-Ann Evans, DDS
• Ty Heath Evans, LPC
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• Patricia Bohn Ewert, MD
• Exodiscovery LLC
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• Eyemart Express LLC
• Eyemasters of Texas LTD

• Physical Therapy Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.