EVERGREEN PHYSICAL THERAPY SPECIALISTS, INC
NPI 1346300670
Clinic/Center - Physical Therapy in Pasadena, CA
About Evergreen Physical Therapy Specialists, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN PHYSICAL THERAPY SPECIALISTS, INC (NPI 1346300670) is a healthcare organization registered as a physical therapy in Pasadena, California and active in the NPI registry since December 2006. The organization lists Tabitha Wang, Director Of Resource Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evergreen Physical Therapy Specialists, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Evergreen Physical Therapy Specialists, Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Evergreen Physical Therapy Specialists, Inc's NPI number?
The NPI number for Evergreen Physical Therapy Specialists, Inc is 1346300670. It was assigned to this organization in the NPPES registry on December 8, 2006.
Where is Evergreen Physical Therapy Specialists, Inc located?
Evergreen Physical Therapy Specialists, Inc is located at 111 S Hudson Ave, Pasadena, CA 91101. The listed phone number is (626) 683-8536.
What is Evergreen Physical Therapy Specialists, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Evergreen Physical Therapy Specialists, Inc enrolled in Medicare?
Yes. Evergreen Physical Therapy Specialists, Inc is registered in the Medicare PECOS enrollment system.
When is Evergreen Physical Therapy Specialists, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Evergreen Physical Therapy Specialists, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Evergreen Physical Therapy Specialists, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evergreen Physical Therapy Specialists, Inc was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Evergreen Physical Therapy Specialists, Inc · NPI 1346300670
Physical Therapy organization in Pasadena, California. Organization record, active in the CMS NPPES registry since December 8, 2006.
## Identity
- **NPI:** 1346300670 (Entity type: Organization)
- **Enumerated:** December 8, 2006
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Tabitha Wang, DIRECTOR OF RESOURCE MANAGEMENT
## Practice location
- **Address:** 111 S HUDSON AVE, Pasadena, CA 91101-2606
- **Phone:** (626) 683-8536 · **Fax:** (626) 683-8236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 23 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 7 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1346300670/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1346300670) · Data from the CMS NPPES public registry.