EVOLVE PHYSICAL THERAPY AND SPORTS (NPI# 1902378987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902378987 |
| Entity Type | Organization |
| Organization Name | EVOLVE PHYSICAL THERAPY AND SPORTS |
| Practice Address |
215 Staring Ln Baton Rouge LA 70810-4064 |
| Mailing Address |
2334 University Club Dr Baton Rouge LA 70810-0441 |
| Practice Telephone | 2259318269 |
| Mailing Telephone | 2259318269 |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-01-01 |
| Authorized Official Name | MR. ROBERT JOEL BOLTON (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2259318269 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
215 STARING LN |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902455678 | Parker Allen Parra | Physical Therapist | 215 Staring Ln, Baton Rouge, LA 70810-4064 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766961 | Louisiana Concierge Physical Therapy, LLC | Clinic/Center | 10710 Misty Vale Ave, Baton Rouge, LA 70810-3030 | 2020-09-29 |
| 1598213753 | Levins Physiotherapy | Clinic/Center | 3854 American Way, Baton Rouge, LA 70816-4013 | 2016-09-16 |
| 1295076917 | Prime Physical Therapy, LLC | Clinic/Center | 4606 Jones Creek Rd, Suite 150, Baton Rouge, LA 70817-1554 | 2013-03-05 |
| 1972840544 | Physicians' Choice Physical Therapy & Pain Center LLC | Clinic/Center | 3123 White Shadows Dr, Baton Rouge, LA 70816-3709 | 2013-01-15 |
| 1386906964 | Baton Rouge Orthopaedic Clinic, LLC | Clinic/Center | 9222 Burbank Dr, Baton Rouge, LA 70820-8612 | 2012-06-11 |
| 1811269483 | Physicians' Choice Physical Therapy Wbr, LLC | Clinic/Center | 8108 Picardy Ave, Baton Rouge, LA 70809-3514 | 2012-01-30 |
| 1326360074 | Mc2 Enterprises, LLC | Clinic/Center | 8100 Ymca Plaza Dr, Baton Rouge, LA 70810-0916 | 2010-02-23 |
| 1558599118 | Eclipse Wellness and Performance Center, LLC | Clinic/Center | 1735 Thomas H Delpit Dr, Baton Rouge, LA 70802-6633 | 2009-06-22 |
| 1982830337 | Mc2 Enterprises, LLC | Clinic/Center | 350 S Foster Dr, Baton Rouge, LA 70806-4105 | 2009-05-29 |
| 1760519318 | Occupational Health Centers of Louisiana, A Professional Corporation | Clinic/Center | 3235 Perkins Road, Baton Rouge, LA 70808 | 2007-02-28 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on EVOLVE PHYSICAL THERAPY AND SPORTS.
| 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.