EVOLVE PHYSICAL THERAPY, LLC (NPI# 1942458617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942458617 |
| Entity Type | Organization |
| Organization Name | EVOLVE PHYSICAL THERAPY, LLC |
| Practice Address |
137 Main St G-001 Edwards CO 81632-8118 |
| Practice Telephone | 9704702611 |
| Mailing Telephone | 9704702611 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |
| Authorized Official Name | KERI L BERGERON (PHYSICAL THERAPIST, REGISTERED AGEN) |
| Authorized Official Telephone | 9704702611 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
8661 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 97734543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093338931 | Evolve Physical Therapy, LLC | Physical Therapist | 800 Bonaventure Way Bldg O-2, Sugar Land, TX 77479-8004 | 2020-05-27 |
| 1497222749 | Evolve Physical Therapy, LLC | Clinic/Center | 6 Barn Dr, Cumberland, RI 02864-4106 | 2018-10-25 |
| 1740592013 | Evolve Physical Therapy, LLC | Physical Therapist | 52 New St, Cambridge, MA 02138-1206 | 2010-07-02 |
| 1861921884 | Evolve Physical Therapy, LLC | Clinic/Center | 1411 Woodbourne Rd, Levittown, PA 19057-1540 | 2017-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EVOLVE PHYSICAL THERAPY, LLC | 1609 Grand Ave., Baldwin, Ny 11510 |
| Massachusetts Corporations | EVOLVE PHYSICAL THERAPY, LLC | 52 New St., Cambridge, MA 02138 |
| Colorado Business Entities | evolve physical therapy, llc | 2949 Federal Blvd, Denver, CO 80211 |
| Street Address |
137 MAIN ST G-001 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632-8118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962737718 | Linda Wells | Massage Therapist | 137 Main St, O-201, Edwards, CO 81632-8118 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477855179 | Movement Physical Therapy, LLC | Clinic/Center | 216 Main St Unit C-104, Edwards, CO 81632-8127 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629811 | Alpenstrong Physical Therapy LLC | Clinic/Center | 166 S Saint Vrain Ave, Estes Park, CO 80517-6355 | 2020-11-08 |
| 1467052258 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 1402 S Parker Rd Ste A116, Denver, CO 80231-2758 | 2020-10-29 |
| 1942808548 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 2706 28th St, Boulder, CO 80301-1222 | 2020-10-15 |
| 1477150597 | Anchor Physical Therapy & Wellness, Pllc | Clinic/Center | 1020 Nancy St, Fort Morgan, CO 80701-3726 | 2020-10-01 |
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1356957757 | Monument Physical Therapy LLC | Clinic/Center | 406 Chipeta Ave, Grand Junction, CO 81501-2532 | 2020-09-21 |
| 1699389288 | New Morning Physical Therapy, LLC | Clinic/Center | 6440 Tacoma Ct, Colorado Springs, CO 80915-4318 | 2020-09-01 |
| 1306455845 | Ascension Physical Therapy, Fitness and Wellness LLC | Clinic/Center | 600 S Cherry St Ste 230, Denver, CO 80246-1714 | 2020-07-30 |
| 1154930345 | Unbound Physical Therapy LLC | Clinic/Center | 3621 S Kalispell St, Aurora, CO 80013-2435 | 2020-07-23 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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| 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.