Evolution Physical Therapy & Wellness LLC
NPI 1578022869ActiveOrganization· Physical Therapist· Grass Valley, CA
Physical Therapist in Grass Valley, California, registered in NPPES in March 2019. The authorized official on file is Miranda Smith, Practice Manager.
Overview
| NPI | 1578022869 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2019 |
| Last updated in NPPES | Dec 14, 2020 |
| Certified by provider | Dec 14, 2020 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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