Healthcare Provider Details

I. General information

NPI: 1831562362
Provider Name (Legal Business Name): EVOKE PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2015
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 PERRY RD
APEX NC
27502-7702
US

IV. Provider business mailing address

825 PERRY RD
APEX NC
27502-7702
US

V. Phone/Fax

Practice location:
  • Phone: 303-475-6252
  • Fax: 844-913-1900
Mailing address:
  • Phone: 303-475-6252
  • Fax: 844-913-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPTL.0012994
License Number StateCO

VIII. Authorized Official

Name: SANDRA MARIA LABELLA
Title or Position: PHYSICAL THERAPIST
Credential: P.T.
Phone: 303-475-6252