Evolution Physical Therapy & Wellness
NPI 1568053742ActiveOrganization· Physical Therapist· Grass Valley, CA
Physical Therapist in Grass Valley, California, registered in NPPES in January 2021. The authorized official on file is Miranda Smith, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568053742 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2021 |
| Last updated in NPPES | Jan 29, 2021 |
| Certified by provider | Jan 29, 2021 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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