Athletic Evolution Strength and Conditioning, Inc
NPI 1538987953ActiveOrganization· Physical Medicine & Rehabilitation· Woburn, MA
Physical Medicine & Rehabilitation in Woburn, Massachusetts, registered in NPPES in October 2024. The authorized official on file is Shannon Walton, Clinical Manager And Compliance. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1538987953 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2024 |
| Last updated in NPPES | Aug 7, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MA) |
|---|
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