MEDICARE: EVOKE PHYSICAL THERAPY PLLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1508507583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOKE PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	2747 FLORENCE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2984
Country	:	US
Telephone Number	:	720-443-3966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2747 FLORENCE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2984
Country	:	US
Telephone Number	:	720-443-3966
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMY ROLSKY
Credential	:	PT, DPT
Telephone Number	:	720-443-3966

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	04/05/2022

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Directions to “EVOKE PHYSICAL THERAPY PLLC ” Practice Location

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