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

Evan Bonvino

Individual provider Physical Therapist · NPI 1770359390

Evan Bonvino is a Physical Therapist in Private Practice in Sutton, Massachusetts. Qualified in 2023, 3 years ago. Practices with Concierge Physical Therapy, Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023

Practice location Address checks out

64 Worcester Providence Tpke
Sutton, MA 01590-2513
Phone: (508) 861-1010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27312 (MA)

Record details

NPI number1770359390
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address64 Worcester Providence Tpke, Sutton, MA 01590-2513

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Concierge Physical Therapy, Inc. — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sutton