Organization Active NPI

Evolution Therapy PT PC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1952069064
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVOLUTION THERAPY PT PC
Practice address
145 Sandford St
Brooklyn, NY 11205-4290
Phone
(347) 614-4866
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Jay Arem
Title
Consultant
Phone
(917) 751-8706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

145 Sandford St
Brooklyn, NY 11205-4290

Mailing address

145 Sandford St
Brooklyn, NY 11205-4290

National Provider Directory

National Provider Directory

Locations

145 Sandford St
Brooklyn, NY 11205
Phone (347) 614-4866

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1952069064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SANDFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SANDFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054290",
            "telephone_number": "347-614-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION THERAPY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "AREM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "917-751-8706"
    },
    "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 Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.