EVOLUTION PHYSICAL THERAPY AND WELLNESS LLC (NPI# 1124506464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124506464 |
| Entity Type | Organization |
| Organization Name | EVOLUTION PHYSICAL THERAPY AND WELLNESS LLC |
| Practice Address |
160 Macgregor Pines Dr Cary NC 27511-6036 |
| Mailing Address |
111 Donna Pl Cary NC 27513-5304 |
| Practice Telephone | 9193490321 |
| Mailing Telephone | 9193490321 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | JESSIE J MATHERS (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9193490321 |
| Authorized Official Credential | PT, OCS, FAAOMPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
P9357 | NC | Ambulatory Health Care Facilities |
| Street Address |
160 MACGREGOR PINES DR |
| City | CARY |
| State | NC |
| Zip Code | 27511-6036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694499 | David M Pilati | Surgery | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2006-01-26 |
| 1013571587 | Wakemed Specialists Group, LLC | Internal Medicine | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2019-04-30 |
| 1922591049 | Wake Specialty Physicians, LLC | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-06-13 |
| 1194189837 | Emergeortho, Pa | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2016-04-08 |
| 1518350289 | Kristin Kelly Clowes | Dietitian, Registered | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2015-03-05 |
| 1568873198 | Bariatric Specialists of North Carolina | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2014-05-16 |
| 1265854053 | Medisuite | Pharmacy | 160 Macgregor Pines Dr, Suite 110, Cary, NC 27511-6036 | 2014-01-13 |
| 1124377247 | Sarah A Stout | Physician Assistant | 160 Macgregor Pines Dr, Cary, NC 27511 | 2012-09-05 |
| 1467712679 | Patrick James Mahaney | Nutritionist | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511-6036 | 2012-05-22 |
| 1033487806 | Gregory Thomas Anderson | Nurse Practitioner | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
| 1649805896 | Optimize Physical Therapy | Clinic/Center | 601 Jamerson Rd, Cary, NC 27519-1560 | 2020-03-09 |
| 1174080378 | Movement Physical Therapy LLC | Clinic/Center | 307 Holloway St, Cary, NC 27513-4531 | 2019-02-23 |
| 1306142302 | Physical Therapy Trends | Clinic/Center | 79 Fairfield Ln, Cary, IL 60013-1945 | 2011-02-08 |
| 1710174859 | Hands On Physical Therapy, Inc | Clinic/Center | 590 New Waverly Pl, Suite 220, Cary, NC 27518-7407 | 2007-10-03 |
| 1790797231 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1050 Crescent Green Drive, Cary, NC 27518-8100 | 2006-08-13 |
| 1598767279 | Select Medical Rehabilitation Services, Inc. | Clinic/Center | 300 Kildaire Woods Dr, Cary, NC 27511-7708 | 2005-08-12 |
| 1376901009 | Response Physical Therapy | Clinic/Center | 107 Edinburgh Dr, Suite 100a, Cary, NC 27511-6412 | 2016-02-09 |
| 1831562362 | Evoke Physical Therapy and Wellness Center, LLC | Clinic/Center | 201 Davis Grove Circle, Suite 106, Cary, NC 27519 | 2015-11-05 |
| 1609250216 | Untapped Potential Physical Therapy, LLC | Clinic/Center | 1230 Se Maynard Rd, Suite 102, Cary, NC 27511-6945 | 2015-07-13 |
| Find all providers in CARY | ||||
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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.