ATHLETIC EVOLUTION PHYSICAL THERAPY, LLC
NPI 1346744216
Clinic/Center - Physical Therapy in Woburn, MA
About Athletic Evolution Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHLETIC EVOLUTION PHYSICAL THERAPY, LLC (NPI 1346744216) is a healthcare organization registered as a physical therapy in Woburn, Massachusetts and active in the NPI registry since March 2018. The organization lists Stefanie Rousselle, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Athletic Evolution Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Athletic Evolution Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: 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 Athletic Evolution Physical Therapy, LLC's NPI number?
The NPI number for Athletic Evolution Physical Therapy, LLC is 1346744216. It was assigned to this organization in the NPPES registry on March 23, 2018.
Where is Athletic Evolution Physical Therapy, LLC located?
Athletic Evolution Physical Therapy, LLC is located at 78C Olympia Ave, Woburn, MA 01801. The listed phone number is (781) 935-7701.
What is Athletic Evolution Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Athletic Evolution Physical Therapy, LLC enrolled in Medicare?
Yes. Athletic Evolution Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Athletic Evolution Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Athletic Evolution Physical Therapy, LLC. 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. The largest specialties are Physical Therapist in Private Practice (6) and Occupational Therapist in Private Practice (1). Of these, 6 practice 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 Athletic Evolution Physical Therapy, LLC was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Athletic Evolution Physical Therapy, Llc · NPI 1346744216
Physical Therapy organization in Woburn, Massachusetts. Organization record, active in the CMS NPPES registry since March 23, 2018.
## Identity
- **NPI:** 1346744216 (Entity type: Organization)
- **Enumerated:** March 23, 2018
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Stefanie Rousselle, DIRECTOR
## Practice location
- **Address:** 78C OLYMPIA AVE, Woburn, MA 01801-2057
- **Phone:** (781) 935-7701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (6), Occupational Therapist in Private Practice (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1346744216) · Data from the CMS NPPES public registry.