EVOLUTION PHYSICAL THERAPY, P.C. (NPI# 1730419706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730419706 |
| Entity Type | Organization |
| Organization Name | EVOLUTION PHYSICAL THERAPY, P.C. |
| Practice Address |
136 E 57th St 705 New York NY 10022-2707 |
| Mailing Address |
6 Rockford Dr West Nyack NY 10994-1212 |
| Practice Telephone | 8454060304 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | KRISTA FAY (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8454060304 |
| Authorized Official Credential | PT, DPT, MCMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
030442-1 | NY | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
027446-1 | NY | Ambulatory Health Care Facilities |
| Street Address |
136 E 57TH ST 705 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649059 | Isaac Tabari | Podiatrist | 136 E 57th St, Suite 801, New York, NY 10022-2707 | 2005-09-20 |
| 1700323136 | Primary Eye Care Optometry, LLP | Optometrist | 136 E 57th St, Suite 1502, New York, NY 10022-2707 | 2017-01-24 |
| 1730631383 | Heather Glubo | Psychologist | 136 E 57th St, #1101, New York, NY 10022-2707 | 2016-10-31 |
| 1306235668 | Scott Woodruff | Psychologist | 136 E 57th St, Suite 1101, New York, NY 10022-2707 | 2015-01-09 |
| 1255736088 | Amelia Aldao | Psychologist | 136 E 57th St, 1101, New York, NY 10022-2707 | 2014-10-22 |
| 1740542265 | Mia M Sage | Student in an Organized Health Care Education/Training Program | 136 E 57th St, New York, NY 10022-2707 | 2012-06-11 |
| 1295026524 | New York City Podiatry Pllc | Podiatrist | 136 E 57th St, Suite 801, New York, NY 10022-2707 | 2011-04-20 |
| 1437480506 | Suzanne Saie | Dentist | 136 E 57th St, #1604, New York, NY 10022-2707 | 2010-01-28 |
| 1215262084 | Peggilee Wupperman | Psychologist | 136 E 57th St, New York, NY 10022-2707 | 2009-10-12 |
| 1457684680 | Ilyse Dobrow Dimarco | Psychologist | 136 E 57th St, Suite 1101, New York, NY 10022-2707 | 2009-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089357 | Sara Mikulsky Wellness Physical Therapy, Pllc | Clinic/Center | 341 E 116th St, New York, NY 10029-1502 | 2020-06-29 |
| 1063037125 | Forza Physical Therapy Pllc | Clinic/Center | 225 E 95th St Apt 17a, New York, NY 10128-4006 | 2020-06-14 |
| 1982229449 | Steven Roman | Clinic/Center | 1420 Amsterdam Ave Apt 4b, New York, NY 10027-8011 | 2020-06-10 |
| 1720612989 | Chloe Starr Physical Therapy & Fitness Pllc | Clinic/Center | 33 Carmine St # 2, New York, NY 10014-4428 | 2020-02-26 |
| 1295374965 | Emerald City Medical PC | Clinic/Center | 130 E 40th St # 1002, New York, NY 10016-0941 | 2019-12-30 |
| 1134768112 | Range of Motion LLC | Clinic/Center | 605 Madison Ave Fl 4, New York, NY 10022-1738 | 2019-12-23 |
| 1922643683 | Megan Wise Pt Pllc | Clinic/Center | 554 5th Ave Fl 3, New York, NY 10036-5004 | 2019-11-16 |
| 1346884913 | Yekaterina Shubova Pt | Clinic/Center | 227 Mulberry St Bsmt, New York, NY 10012-4126 | 2019-11-06 |
| 1710521588 | Shawn Monahan Physical Therapy, Pllc | Clinic/Center | 256 West St, New York, NY 10013-2014 | 2019-11-04 |
| 1447800289 | Coast Rehab Nyc, LLC | Clinic/Center | 883 Avenue of The Americas Fl 3, New York, NY 10001-3501 | 2019-09-13 |
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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.