Organization Active NPI

Evolve Health Chiropractic LLC

Doing business as Evolve Chiropractic

  • Chiropractor
  • North Port, FL
National Provider Identifier
1891346227
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVOLVE HEALTH CHIROPRACTIC LLC
Doing business as
Evolve Chiropractic
Practice address
1219 N Sumter Blvd
North Port, FL 34286-8021
Phone
(941) 500-4507
Fax
(941) 257-5129
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Dr. Stefanie Ascher, DCNPI 1396397188
Title
Owner
Phone
(941) 500-4507

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1219 N Sumter Blvd
North Port, FL 34286-8021

Mailing address

1219 N Sumter Blvd
North Port, FL 34286-8021
Phone (941) 500-4507

Other names 1

  • Evolve Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191115000087 FL Part B Supplier - Clinic/Group Practice 1355773284 Receives reassigned benefits from 2 practitioners
Practice locations: North Port, FL

National Provider Directory

National Provider Directory

Locations

1219 N Sumter Blvd
North Port, FL 34286
Phone (941) 500-4507

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1891346227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868021",
            "telephone_number": "941-500-4507",
            "fax_number": "941-257-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868021",
            "telephone_number": "941-500-4507",
            "fax_number": "941-257-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "ASCHER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-500-4507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.