Evolution Rehab Group LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

EVOLUTION REHAB GROUP LLC

Practice address

4705 N Federal Hwy
Boca Raton, FL 33431-5135

Phone

(561) 900-2423

Fax

(561) 600-3011

NPI assigned

Feb 8, 2020

Last updated

Feb 18, 2020By 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

Dr. Benjamin M Galin, DPTNPI 1740458215

Title

Administrator

Phone

(561) 900-2423

Specialties & licenses 1

Addresses

Electronic endpoints 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Evolution Rehab Group LLC

  • Physical Therapist
  • Jupiter, FL
  • NPI 1023840246

  Member Of

  NPD member

Practitioners 2

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.

• Benjamin Marc Galin, DPT, OCS

  • Orthopedic Physical Therapist
  • Wellington, FL
  • NPI 1740458215
  NPD Authorized official
• Monika Solcianska Stahl

  • Physical Therapist
  • Stuart, FL
  • NPI 1700570561
  NPD (past)

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1871125799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 EMERALD WINDS CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737837",
            "telephone_number": "561-685-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315135",
            "telephone_number": "561-900-2423",
            "fax_number": "561-600-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION REHAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "GALIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-900-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "evolution.rehab",
            "affiliation": "N",
            "endpointDescription": "web site",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "mail",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4705 N Federal Hwy",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334315135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Marie Evans, MS, LMHC, NCC
• Stanley Evariste, CRT, RBT
• Jessica Evelson, M.D.
• Evergreen Homecare at Boca
• Evertrust Medical Group
• Evolution Rehab, LLC
• Eric J Ewald, M.D
• Maude Exantus, DNP, APRN, FNP-BC
• Max Exantus, MS
• Excel Behavior Therapy LLC

• Rehabilitation Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.