Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Evan Michael Pucillo, PT, DPT

Individual provider Neurology Physical Therapist · NPI 1578961041

Dr. Evan Michael Pucillo, PT, DPT is a Neurology Physical Therapist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

50 N Medical Dr 1R 5 Som
Salt Lake City, UT 84132-0001
Phone: (801) 585-5323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 9083705-2401 (UT)

Record details

NPI number1578961041
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedDecember 15, 2014
Last updated in NPPESSeptember 22, 2015
Mailing address127 S 500 E, Suite 600, Salt Lake City, UT 84102-1959

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