Evolve Physical Therapy And Performance, INC
Physical Therapist, Orthopedic in Clovis, CA. Organization (NPI-2).
NPI number1861978512
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1861978512
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Physical Therapy And Performance, INC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2018
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRI
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | PT292568 | CA | Yes |
Practice location
340 Clovis AveClovis, CA 93612-1116
Phone 608-239-4249
Mailing address
340 Clovis AveClovis, CA 93612-1116
Phone 559-650-0345
Authorized official
Randy Hill
Owner/Physical Therapist
5595736594
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