Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Physical Therapy Specialists, Inc

Organization Physical Therapy Clinic/Center · NPI 1346300670

Evergreen Physical Therapy Specialists, Inc is a Physical Therapy Clinic/Center in Pasadena, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 S Hudson Ave
Pasadena, CA 91101-2606
Phone: (626) 683-8536
Fax: (626) 683-8236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT18149 (CA)
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1346300670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabitha Wang — Director Of Resource Management · (626) 683-8536
NPI enumeratedDecember 8, 2006
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing addressPo Box 50004, Pasadena, CA 91115-0004

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