MEDICARE: EVERSAGE HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1437013653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERSAGE HEALTH LLC

Provider Business Mailing Address
First Line	:	4803 PRESTON TRAILS LN
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-3885
Country	:	US
Telephone Number	:	281-786-7577
Fax Number	:

Provider Business Practice Location Address
First Line	:	4803 PRESTON TRAILS LN
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-3885
Country	:	US
Telephone Number	:	281-786-7577
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAM THANH DINH
Credential	:	DPT
Telephone Number	:	281-786-7577

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “EVERSAGE HEALTH LLC ” Practice Location

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