Healthcare Provider Details

I. General information

NPI: 1710656087
Provider Name (Legal Business Name): EVOLVE HAND THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 GREENWAY PLZ STE 1525
HOUSTON TX
77046-0812
US

IV. Provider business mailing address

3139 W HOLCOMBE BLVD # A170
HOUSTON TX
77025-1533
US

V. Phone/Fax

Practice location:
  • Phone: 713-401-6014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: EMILY HINES
Title or Position: OWNER/ LEAD OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 713-401-6014