Evolve Physical Therapy, Plc
Physical Therapist in Morristown, VT. Organization (NPI-2).
NPI number1639780489
StatusActive
Last updated in NPPESAug 14, 2020
Details
- NPI
- 1639780489
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Physical Therapy, Plc
- Organization subpart
- No
- Enumeration date
- Aug 14, 2020
- Certification date
- Aug 14, 2020
- Last updated
- Aug 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
192 Allan Ridge RdMorristown, VT 05661-8680
Phone 856-220-1460
Mailing address
Po Box 381Morrisville, VT 05661-0381
Authorized official
Lori Gottlieb
Physical Therapist, Owner
8562201460
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