Evolution Physical Therapy LLC
NPI 1588208243ActiveOrganization· Physical Therapist· Clarksburg, MD
Physical Therapist in Clarksburg, Maryland, registered in NPPES in November 2019. The authorized official on file is Kenneth Lou, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1588208243 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2019 |
| Last updated in NPPES | Jan 12, 2024 |
| Certified by provider | Jan 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 (DC) |
|---|
Other physical therapists in Clarksburg
- 1033892633
- 1053091736
- 1053869107
- 1275082323
- 1396679106
- 1528673878
- 1700209822
- 1841046448
- 1952137192
- 1699698415
- 1811220445
- 1093013187
All 15 physical therapists in Clarksburg · All physical therapists in Maryland