EVOLVE NEURO THERAPY LLC NPI 1619856929

NPI Information

  • NPI: 1619856929
  • Provider Name: EVOLVE NEURO THERAPY LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 111 E MONUMENT AVE UNIT 410
    KISSIMMEE, FL
    ZIP 34741
  • Phone: (407) 904-5285

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NPI Details

EVOLVE NEURO THERAPY LLC is a rehabilitation clinic center in Kissimmee, FL. EVOLVE NEURO THERAPY LLC NPI is 1619856929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 E MONUMENT AVE UNIT 410
KISSIMMEE, FL
ZIP 34741-774
Phone: (407) 904-5285

The provider's authorized official is Jazmin Peralta .
The authorized official title is Owner and has the following contact phone number (407) 460-8500.

The enumeration date for this NPI number is 8/29/2025 and was last updated on 8/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
22251N0400XPhysical TherapistNeurologyNo
3225X00000XOccupational TherapistNo
4225XN1300XOccupational TherapistNeurorehabilitationNo
5261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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