Active NPIOrganization

Evolve Therapy LLC

Occupational Therapist in Newark, New Jersey

NPI Number1922631100
Practice location
18 Oliver St Suite 101, Newark, NJ 07102
Fax
862-206-8417
Last updated
September 15, 2021

Evolve Therapy LLC is a healthcare organization based in Newark, NJ. Evolve Therapy LLC practices in Newark, NJ. The NPI Number for Evolve Therapy LLC is 1922631100. The current practice location address for Evolve Therapy LLC is 18 Oliver St Suite 101, Newark, NJ 07102 and can be reached out via phone at 862-272-7504 and via fax at 862-206-8417.

Provider Profile Details

NPI Number
1922631100
Provider Name
Evolve Therapy LLC
Provider Entity Type
Organization
Address
18 Oliver St Suite 101, Newark, NJ 07102
Phone Number
862-272-7504
Fax Number
862-206-8417
Primary Taxonomy
Occupational Therapist · 225X00000X
Organization Subpart
No
Authorized Official
Eder Charles, MS OTR/L · Owner · 862-272-7504
Provider Enumeration Date
February 17, 2020
Last Update Date
September 15, 2021
Certification Date
September 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Oliver St Suite 101
Newark, NJ 07102
City
Newark
Zip
07102
Phone Number
862-272-7504
Fax Number
862-206-8417
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
18 Oliver St Suite 101
Newark, NJ 07102
City
Newark
State
NJ
Zip
07102
Phone Number
862-272-7504
Fax Number
862-206-8417

License Information

Taxonomy (1)
Physical Medicine & Rehabilitation · 208100000X
Taxonomy (2)
Physical Therapist · 225100000X
Taxonomy (3)
Occupational Therapist, Hand · 225XH1200X
Taxonomy (4)
· 2251C2600X
Taxonomy (5)
Speech-Language Pathologist, · 235Z00000X
Taxonomy (6)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evolve Therapy LLC?

The NPI number of Evolve Therapy LLC is 1922631100. It was assigned on February 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Evolve Therapy LLC?

Evolve Therapy LLC is registered under the primary taxonomy Occupational Therapist (code 225X00000X).

Where does Evolve Therapy LLC practice?

The practice location is 18 Oliver St Suite 101, Newark, NJ 07102. The office can be reached at 862-272-7504 (phone) or 862-206-8417 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922631100 directly on the NPPES registry website.

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