EVOLVE PHYSICAL THERAPY, PLLC (NPI# 1215216288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215216288 |
| Entity Type | Organization |
| Organization Name | EVOLVE PHYSICAL THERAPY, PLLC |
| Other Organization Name | EVOLVE PHYSICAL THERAPY AND SPORTS REHABILITATION |
| Practice Address |
159 East 74th Street 1st Floor New York NY 10021 |
| Mailing Address |
159 E 74th St First Floor New York NY 10021-3235 |
| Practice Telephone | 9175419054 |
| Mailing Telephone | 9175419054 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | MR. JASON ROTH (CO DIRECTIOR) |
| Authorized Official Telephone | 7182583300 |
| Authorized Official Credential | PT, MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Evolve Physical Therapy and Sports Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EVOLVE PHYSICAL THERAPY, PLLC | 120 10th Ave E # 206, Seattle, WA 98102-5708 |
| Street Address |
159 EAST 74TH STREET 1ST FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053377796 | Russell Howard Silver | Physical Medicine & Rehabilitation | 159 East 74th Street, New York, NY 10021 | 2006-04-21 |
| 1730728577 | Lauren Elizabeth Ray | Physical Therapist | 159 East 74th Street, 1st Floor, New York, NY 10021-1002 | 2019-12-26 |
| 1497220685 | Lindsay Anne Butterfield | Physical Medicine & Rehabilitation | 159 East 74th Street, 1st Floor, New York, NY 10021-3235 | 2018-10-04 |
| 1609355791 | Lily Liang | Physician Assistant | 159 East 74th Street, Mezzanine & 2nd Floor, New York, NY 10021 | 2018-08-09 |
| 1144258658 | Cathy S Altman | Physical Therapist | 159 East 74th Street, Suite 1r, New York, NY 10021 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124563879 | Pascale Gousseland, Ph.d | Point of Service | 117 E 71st St, Suite A, New York, NY 10021-4215 | 2017-01-04 |
| 1386015824 | Reina Sara Park Avenue | Point of Service | 71 Park Ave Ste 1c, New York, NY 10016-2507 | 2015-10-09 |
| 1720412703 | Aa Plus Managerment Inc | Point of Service | 225 Park Row, New York, NY 10038-1144 | 2013-08-27 |
| 1043465602 | Laser & Mohs Surgery of New York Pllc | Point of Service | 130 W 42nd St Ste 1805, New York, NY 10036-7902 | 2008-11-24 |
| 1861600397 | Cohens Optical | Point of Service | 2561 Broadway, New York, NY 10025-5657 | 2007-05-18 |
| 1992826713 | Dr. John W. Wolf Dds, PC | Point of Service | 212 W 15th St Fl 1, New York, NY 10011-6501 | 2007-04-02 |
| 1205870078 | Fort Washington Medical Office PC | Point of Service | 66 Fort Washington Ave, New York, NY 10032-4711 | 2006-06-15 |
| 1710586086 | Charles Saha Md PC | Point of Service | 120 E 86th St Fl 2, New York, NY 10028-1062 | 2020-10-19 |
| 1255868634 | Maya E Kunofsky Np Psychiatry PC | Point of Service | 1115 Broadway Fl 12, New York, NY 10010-3452 | 2017-05-17 |
| 1740715150 | Nios Spa | Point of Service | 315 W 57th St, Suite 308, New York, NY 10019-3158 | 2017-04-23 |
| Find all providers in NEW YORK | ||||
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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.