EVOLVE PHYSICAL THERAPY AND SPORTS CENTER INC (NPI# 1811946023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811946023 |
| Entity Type | Organization |
| Organization Name | EVOLVE PHYSICAL THERAPY AND SPORTS CENTER INC |
| Practice Address |
1103 Cypress Creek Rd Ste 103 Cedar Park TX 78613-3924 |
| Practice Telephone | 5129180044 |
| Practice Fax Number | 5129180045 |
| Mailing Telephone | 5129180044 |
| Mailing Fax Number | 5129180045 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MICHAEL CHARLES GAYLE (OWNER) |
| Authorized Official Telephone | 5129180044 |
| Authorized Official Credential | PT, MA, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
TX | Ambulatory Health Care Facilities |
| Street Address |
1103 CYPRESS CREEK RD STE 103 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679110 | Michael Charles Gayle | Physical Therapist | 1103 Cypress Creek Rd, Ste 103, Cedar Park, TX 78613-3924 | 2005-06-21 |
| 1407233919 | Williams Wellness Chiropractic, LLC | Chiropractor | 1103 Cypress Creek Rd, Suite 102, Cedar Park, TX 78613-3924 | 2015-05-04 |
| 1710374129 | Heather Schorken | Physical Therapist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2015-04-23 |
| 1649667338 | Texas Physical Therapy Specialist | Physical Therapist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2015-04-20 |
| 1891189536 | Jason T Williams | Chiropractor | 1103 Cypress Creek Rd, Suite 102, Cedar Park, TX 78613-3924 | 2015-03-19 |
| 1568758068 | Anthony William Lauretta | Physical Therapist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2011-06-22 |
| 1619286358 | Brooke Ashley Radabaugh | Speech-Language Pathologist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2010-09-29 |
| 1538473301 | Trusted Life Care, Inc. | Durable Medical Equipment & Medical Supplies | 1103 Cypress Creek Rd, Unit 104, Cedar Park, TX 78613-3924 | 2010-08-03 |
| 1639402993 | Daniel R Hernandez | Speech-Language Pathologist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2009-09-17 |
| 1679730402 | Total Sleep Diagnostics, Inc. | Clinic/Center | 1103 Cypress Creek Rd, Unit 104, Cedar Park, TX 78613-3924 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225688567 | Envision Rehab LLC | Clinic/Center | 3621 E Whitestone Blvd Ste 400, Cedar Park, TX 78613-7073 | 2019-09-18 |
| 1487905170 | Whitestone Physical Therapy Lp | Clinic/Center | 715 Discovery Blvd Ste 411, Cedar Park, TX 78613-2417 | 2012-09-21 |
| 1205479516 | Tyler Althof | Clinic/Center | 715 Discovery Blvd Ste 411, Cedar Park, TX 78613-2417 | 2019-10-21 |
| 1396100731 | Agilitas Usa, Inc | Clinic/Center | 1335 E Whitestone Blvd Bldg O100, Cedar Park, TX 78613-0047 | 2015-12-30 |
| 1396043550 | Physiotherapy Associates, Inc. | Clinic/Center | 351 Cypress Creek Rd, Suite 200, Cedar Park, TX 78613-4528 | 2011-03-11 |
| 1134367451 | Milestones Services, Pllc | Clinic/Center | 1460 E Whitestone Blvd, Cedar Park, TX 78613-2210 | 2009-01-23 |
| 1871626077 | Milestones Children's Therapy | Clinic/Center | 1490 E Whitestone Blvd, Ste 100, Cedar Park, TX 78613-2274 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
| 1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
| 1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on EVOLVE PHYSICAL THERAPY AND SPORTS CENTER INC.
| 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.