Organization Active NPI

Evolution Physical Therapy and Performance LLC

  • Physical Therapy Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1881307106
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EVOLUTION PHYSICAL THERAPY AND PERFORMANCE LLC
Practice address
914 Park Ave
West Palm Beach, FL 33403-2404
Phone
(845) 863-9887
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Julio S Cabrera, DPTNPI 1578093993
Title
Owner/Physical Therapist
Phone
(845) 863-9887

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

914 Park Ave
West Palm Beach, FL 33403-2404

Mailing address

1805 N Flagler Dr Apt 115
West Palm Beach, FL 33407-6535
Phone (845) 863-9887

National Provider Directory

National Provider Directory

Locations

914 Park Ave
West Palm Beach, FL 33403
Phone (845) 863-9887

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1881307106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N FLAGLER DR APT 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076535",
            "telephone_number": "845-863-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PARK AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334032404",
            "telephone_number": "845-863-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-863-9887",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.