Evan Brock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

119 Pine St Suite a
Pineville, KY 40977

Phone

(606) 654-2276

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevation Therapy LLCGroup PAC ID 2062832629, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elevation Therapy, LLC

  dba Elevation Physical and Occupational Therapy

  • Physical Therapist
  • Middlesboro, KY
  • NPI 1932714888
  Medicare reassignment Care Compare group NPD
• Apex Physical Therapy and Sports Performance, LLC

  • Physical Therapy Clinic/Center
  • Barbourville, KY
  • NPI 1235633454

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1942975479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "40977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PINE ST SUITE A",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "40977",
            "telephone_number": "606-654-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Prompt",
            "affiliation": "N",
            "address_1": "119 pine st suite A",
            "city": "Pineville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bell County Schools
• Bella Lasley LLC (Taylor Drug Store)
• Rebecca Jane Beverly, APRN
• Robert F Bond
• Broadway Clinic Pharmacy Inc (Medicine Cabinet Pharmacy)
• Thomas Edward Busic, PMHNP-BC
• Corey Lee Campbell, PA-C
• Mary Catherine Caruso, APRN
• Champion Physical Therapy Kentucky, LLC (CORA Physical Therapy - Pineville)
• Childrens Advocacy Center of Bell County (Ray Of Hope)

• Physical Therapist in Pineville, KY
• Providers in Pineville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.