Organization
EVOLVE PHYSICAL THERAPY, LLC
Active
Organization
EVOLVE PHYSICAL THERAPY, LLC
Active
Other names
Fyzical Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL THOMAS MSPT (OWNER)
(832) 559-2900
Entity
Organization
Contact information
Practice address
800 BONAVENTURE WAY STE 167, SUGAR LAND, TX 77479-8007
(281) 658-9965
Mailing address
800 BONAVENTURE WAY STE 167, SUGAR LAND, TX 77479-8007
(832) 559-2900
(832) 559-2900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4179905
—
TX
Enumeration date
05/27/2020
Last updated
11/28/2023
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