Evolab Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVOLAB PHYSICAL THERAPY LLC

Practice address

2049 Corporate Dr
Wilmington, NC 28405-7401

Phone

(910) 218-8108

Fax

(910) 319-9194

NPI assigned

Aug 8, 2025

Organization subpart

No

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

Authorized official

Name

Nathan Thompson

Title

Owner

Phone

(336) 552-6567

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel Lee Thompson, PT, DPT, MBA

  • Physical Therapist
  • Leland, NC
  • NPI 1144786633
  NPD

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784419200000",
    "number": "1871478776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 S COLLEGE RD STE 11",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 CORPORATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057401",
            "telephone_number": "910-218-8108",
            "fax_number": "910-319-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLAB PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-552-6567"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.