NPIMap

Organization Active NPI

Evolution Exercise and Spine Center of Madison LLC

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1902848401
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVOLUTION EXERCISE AND SPINE CENTER OF MADISON LLC
Practice address
376 Junction Rd
Madison, WI 53717-2612
Phone
(608) 662-0016
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Mary Hall, M.P.T.NPI 1871539171
Title
Employee
Phone
(608) 662-0016

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

376 Junction Rd
Madison, WI 53717-2612

Mailing address

376 Junction Rd
Madison, WI 53717-2612
Phone (608) 662-0016

National Provider Directory

National Provider Directory

Locations

376 Junction Rd
Madison, WI 53717
Phone (608) 662-0016

Practitioners & affiliated clinicians

Practitioners 4

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1902848401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 JUNCTION RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172612",
            "telephone_number": "608-662-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 JUNCTION RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172612",
            "telephone_number": "608-662-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION EXERCISE AND SPINE CENTER OF MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "608-662-0016",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.