EVOLVE THERAPY LLC (NPI# 1922631100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922631100 |
| Entity Type | Organization |
| Organization Name | EVOLVE THERAPY LLC |
| Practice Address |
77 Newark Ave Belleville NJ 07109-4143 |
| Mailing Address |
27 Aspen Rd West Orange NJ 07052-1201 |
| Practice Telephone | 9088689109 |
| Mailing Telephone | 9088689109 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | EDER CHARLES (OWNER) |
| Authorized Official Telephone | 9088689109 |
| Authorized Official Credential | OCCUPATIONAL THE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669026324 | Evolve Therapy LLC | Counselor | 786 Blanding Blvd Ste 120, Orange Park, FL 32065-6728 | 2019-07-30 |
| 1164080297 | Evolve Therapy LLC | Counselor | 201 International Cir Ste 230, Cockeysville, MD 21030-1344 | 2019-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EVOLVE THERAPY LLC | 29 Dairy Farm Drive, Brookfield, CT 06804 |
| Street Address |
77 NEWARK AVE |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554263 | Ariff Admani | Internal Medicine | 77 Newark Ave, Suite 2, Belleville, NJ 07109-4143 | 2006-02-01 |
| 1578747150 | Allmeds Limited Liability Company | Durable Medical Equipment & Medical Supplies | 77 Newark Ave, Belleville, NJ 07109-4143 | 2007-12-19 |
| 1992836431 | Jersey Rehab Pa | Physical Medicine & Rehabilitation | 77 Newark Ave, Belleville, NJ 07109-4143 | 2007-03-08 |
| 1285668889 | Lauren Cerullo | Physical Therapist | 77 Newark Ave, Suite 4, Belleville, NJ 07109-4143 | 2006-07-10 |
| 1063460939 | John Daconti | Internal Medicine | 77 Newark Ave, Suite 3 & 4, Belleville, NJ 07109-4143 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922321546 | Msa Alliance LLC | Physical Medicine & Rehabilitation | 4550 Memorial Drive, Ste. 280, Belleville, IL 62226 | 2010-03-10 |
| 1356446108 | Frederick D Gangemi | Physical Medicine & Rehabilitation | 65 Newark Ave, Belleville, NJ 07109-1135 | 2006-09-14 |
| 1912002296 | Anwar A Khan | Physical Medicine & Rehabilitation | 4010 North Illinois Street, Ste 2, Belleville, IL 62226 | 2006-09-13 |
| 1265419683 | Hafiz Khattak | Physical Medicine & Rehabilitation | 8601 W Main St, Ste. 101, Belleville, IL 62223-1719 | 2005-12-28 |
| 1497373062 | Ivyrehab Network, Inc. | Physical Medicine & Rehabilitation | 15 Newark Ave, Belleville, NJ 07109-1123 | 2020-07-10 |
| 1669090775 | Neuropathy and Pain Solutions Ltd | Physical Medicine & Rehabilitation | 1820 N Belt E, Belleville, IL 62221-5523 | 2020-07-07 |
| 1467969238 | Robert Cozzarelli Jr. | Physical Medicine & Rehabilitation | 155 Belleville Ave, Belleville, NJ 07109-2407 | 2018-01-03 |
| 1922369156 | Msa Alliance, LLC | Physical Medicine & Rehabilitation | 4700 Memorial Dr, Suite 220, Belleville, IL 62226-5373 | 2012-06-05 |
| 1821381658 | Msa Alliance, LLC | Physical Medicine & Rehabilitation | 4700 Memorial Drive, Ste. 200, Belleville, IL 62226 | 2011-05-26 |
| 1992836431 | Jersey Rehab Pa | Physical Medicine & Rehabilitation | 77 Newark Ave, Belleville, NJ 07109-4143 | 2007-03-08 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
Please comment or provide details below to improve the information on EVOLVE THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.