Evolution Physical Therapy
Evolution Physical Therapy is a healthcare organization registered as Physical Therapy Clinic/Center in Farmingdale, NY, holding Type 2 (organization) NPI 1649904079 since 2022. The authorized official on file is Audrey Medlock, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649904079 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evolution Physical Therapy |
| Practice address | 47 HEISSER LN, Farmingdale, NY, 11735 |
| Phone | 5166650882 |
| Fax | 5166650884 |
| Enumeration date | 2022-07-12 |
| Last updated in NPPES | 2022-07-12 |
Authorized official
| Name | Audrey Medlock |
|---|---|
| Title | Office Manager |
| Phone | 3109156100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Evolution Physical Therapy NPI: 1649904079 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 47 HEISSER LN, Farmingdale, NY, 11735
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326058116 | Fiber Foot Appliances Inc | Organization | Customized Equipment (DME) | Farmingdale, NY |
| 1669195681 | Evolution Physical Therapy Ny Pllc | Organization | Physical Therapy Clinic/Center | Farmingdale, NY |
| 1255196804 | Matthew Messner | Individual | Physical Therapist | South Farmingdale, NY |
Verify this record
Cross-check NPI 1649904079 against the authoritative CMS record: view Evolution Physical Therapy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Evolution Physical Therapy?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-12.