EVOLUTION PHYSICAL THERAPY, LLC


Address: 7 Reynolds Ave, Stamford, CT 06905
Phone: 9149604085

EVOLUTION PHYSICAL THERAPY, LLC (NPI# 1659805117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659805117
Entity Type Organization
Organization Name EVOLUTION PHYSICAL THERAPY, LLC
Practice Address 7 Reynolds Ave
Stamford
CT 06905
Mailing Address 7 Reynolds Ave
Stamford
CT 06905-4121
Practice Telephone 9149604085
Practice Fax Number 2033513145
Mailing Telephone 9149604085
Mailing Fax Number 2033513145
Enumeration Date 2017-04-11
Last Update Date 2018-08-22
Authorized Official Name DR. BRIAN WOLFE (PRESIDENT/PHYSICAL THERAPIST)
Authorized Official Telephone 9149604085
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
9580 CT Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations EVOLUTION PHYSICAL THERAPY, LLC 7 Reynolds Ave, Stamford, CT 06905

Office Location

Street Address 7 REYNOLDS AVE
City STAMFORD
State CT
Zip Code 06905

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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1952791329 Connecticut Dance Physical Therapy LLC Clinic/Center 1275 Summer St, Suite 307, Stamford, CT 06905-5359 2015-01-23
1932516119 Integrated Physical Therapy and Pain Management, LLC Clinic/Center 1 Strawberry Hill Ct, L5, Stamford, CT 06902-2548 2014-07-19
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Competitor

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City STAMFORD
Zip Code 06905

Improve Information

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Dataset Information

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.

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