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

Evolve Neuro Therapy LLC

Organization Physical Therapist · NPI 1619856929

Evolve Neuro Therapy LLC is a Physical Therapist in Kissimmee, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 E Monument Ave Unit 410
Kissimmee, FL 34741-5774
Phone: (407) 904-5285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Physical Therapist Taxonomy 225100000X
Neurology Physical Therapist Taxonomy 2251N0400X
Occupational Therapist Taxonomy 225X00000X
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X

Record details

NPI number1619856929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jazmin Peralta — Owner · (407) 460-8500
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address111 E Monument Ave Unit 410, Kissimmee, FL 34741-5774

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