NPIMap

Organization Active NPI

Evolve Movement Therapy

  • Physical Therapist
  • Spring Hill, TN
National Provider Identifier
1902360696
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVOLVE MOVEMENT THERAPY
Practice address
3011 Longford Dr Ste 7
Spring Hill, TN 37174-6203
Phone
(615) 302-8056
Fax
(615) 302-8055
NPI assigned
Jan 26, 2019
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Leigh Ann Moore
Title
Billing Specialist
Phone
(931) 505-4354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3011 Longford Dr Ste 7
Spring Hill, TN 37174-6203

Mailing address

3011 Longford Dr Ste 7
Spring Hill, TN 37174-6203
Phone (615) 302-8056

Other practice location 1

7235 Haley Industrial Dr Fl 2
Nolensville, TN 37135-9513
Phone (615) 302-8056

Other identifiers 1

IdentifierTypeStateIssuer
PT0000008496OtherTNBCBS PPO, HUMANA, ETNA, UNHC, CIGNA, TRI-CARE,

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190523002866 TN Part B Supplier - Clinic/Group Practice 3779826227 Receives reassigned benefits from 6 practitioners
Practice locations: Spring Hill, TN

National Provider Directory

National Provider Directory

Locations

7235 Haley Industrial Dr
Fl 2
Nolensville, TN 37135
Phone (615) 302-8056

3011 Longford Dr
Ste 1
Spring Hill, TN 37174

3011 Longford Dr
Ste 7
Spring Hill, TN 37174
Phone (615) 302-8056

Practitioners & affiliated clinicians

Practitioners 8

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": "1548460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1902360696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 LONGFORD DR STE 7",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746203",
            "telephone_number": "615-302-8056",
            "fax_number": "615-302-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 LONGFORD DR STE 7",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746203",
            "telephone_number": "615-302-8056",
            "fax_number": "615-302-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7235 Haley Industrial Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Nolensville",
            "state": "TN",
            "postal_code": "371359513",
            "country_code": "US",
            "telephone_number": "615-302-8056",
            "fax_number": "615-302-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE MOVEMENT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LEIGH ANN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "931-505-4354"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO, HUMANA, ETNA, UNHC, CIGNA, TRI-CARE,",
            "identifier": "PT0000008496",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.