Evolve Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305204845 Issued in VA

Legal business name

EVOLVE PHYSICAL THERAPY LLC

Practice address

16360 Admeasure Cir
Woodbridge, VA 22191-6374

Phone

(571) 426-2704

Fax

(703) 763-2809

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By 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

Mr. Christian Vertudes, PTNPI 1386870855

Title

Co-Founder

Phone

(571) 426-2704

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Christian B Vertudes, DPT

  • Physical Therapist
  • Dumfries, VA
  • NPI 1386870855
  Authorized official Same address or phone

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1821425257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 ADMEASURE CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916374",
            "telephone_number": "571-426-2704",
            "fax_number": "703-763-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 ADMEASURE CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916374",
            "telephone_number": "571-426-2704",
            "fax_number": "703-763-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "VERTUDES",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "571-426-2704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305207829",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305204845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.