Evolution Performance and Rehabilitation LLC
NPI 1356218044ActiveOrganization· Physical Therapist· Nashville, TN
Physical Therapist in Nashville, Tennessee, registered in NPPES in October 2025. The authorized official on file is Benjamin Moore, DPT, Owner / Founder / Ceo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1356218044 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2025 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TN) |
|---|
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