Evolve Therapy Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EVOLVE THERAPY SERVICES LLC

Practice address

111 Calle Dufrense
Esquina Manuel Cruz
Humacao, PR 00791

Phone

(939) 328-7297

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Milady Velazquez de JesusNPI 1124708508

Title

Owner

Phone

(787) 974-7513

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Milady Velazquez de Jesus, OTD

  • Occupational Therapist
  • Humacao, PR
  • NPI 1124708508
  NPD Authorized official

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1972281350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7303",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CALLE DUFRENSE",
            "address_2": "ESQUINA MANUEL CRUZ",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "939-328-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ DE JESUS",
        "authorized_official_first_name": "MILADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-974-7513"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA EXAMINADORA  DE TERAPIA OCUPACIONAL",
            "identifier": "1020-2",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.