NPIMap

Organization Active NPI

Supreme Care Physical Therapy and Occupational Therapy, PLLC

Doing business as Evolve Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1841522190
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC
Doing business as
Evolve Physical Therapy and Sports Rehabilitation
Practice address
3319 Avenue N
Brooklyn, NY 11234-2605
Phone
(718) 258-3300
Fax
(718) 258-3301
NPI assigned
Feb 10, 2010
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Louis Winston Ezrick, PTNPI 1639369861
Title
Owner
Phone
(718) 258-3300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

3319 Avenue N
Brooklyn, NY 11234-2605

Mailing address

3319 Avenue N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

Other practice location 1

372 Avenue U Ste 1A
Brooklyn, NY 11223-4052
Phone (718) 258-3300

Other practice location 2

945 Kings Highway
Brooklyn, NY 11223-2336
Phone (718) 258-3300

Other practice location 3

550 5TH Ave
Brooklyn, NY 11215-7373
Phone (718) 258-3300

Other practice location 4

6161 Strickland Ave
Brooklyn, NY 11234-6409
Phone (718) 258-3300

Other names 1

  • Evolve Physical Therapy and Sports Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000284 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385774694 Receives reassigned benefits from 36 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

191 15th St
Brooklyn, NY 11215
Phone (718) 258-3300

3131 Kings Hwy
Ste B9
Brooklyn, NY 11234
Phone (718) 338-0333

3319 Avenue N
Brooklyn, NY 11234
Phone (718) 258-3300

372 Avenue U
Brooklyn, NY 11223
Phone (347) 392-2673

6010 Bay Pkwy
Fl 6
Brooklyn, NY 11204
Phone (718) 236-7520

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1841522190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300",
            "fax_number": "718-258-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300",
            "fax_number": "718-258-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 Avenue U Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112234052",
            "country_code": "US",
            "telephone_number": "718-258-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 Kings Highway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112232336",
            "country_code": "US",
            "telephone_number": "718-258-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 5TH Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112157373",
            "country_code": "US",
            "telephone_number": "718-258-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 Strickland Ave",
            "address_purpose": "LOCATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346409",
            "country_code": "US",
            "telephone_number": "718-258-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPREME CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "EZRICK",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-258-3300",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Physical Therapy and Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.