Organization Active NPI

Evolution Performance and Rehabilitation LLC

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1356218044
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVOLUTION PERFORMANCE AND REHABILITATION LLC
Practice address
1014 4TH Ave S
Nashville, TN 37210-2626
Phone
(615) 266-5599
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Benjamin Moore, DPTNPI 1043668791
Title
Owner / Founder / Ceo
Phone
(601) 668-6775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1014 4TH Ave S
Nashville, TN 37210-2626

Mailing address

4000 Lioncrest LN
Thompsons Station, TN 37179-2944
Phone (601) 668-6775

Other practice location 1

1894 General George Patton Dr Ste 400
Franklin, TN 37067-4665
Phone (615) 266-5599

Other practice location 2

225 Molly Walton Dr Ste A
Hendersonville, TN 37075-2199
Phone (615) 266-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109000778 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971089988 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN; Franklin, TN

National Provider Directory

National Provider Directory

Locations

1894 General George Patton Dr
Ste 400
Franklin, TN 37067
Phone (615) 266-5599

1014 4th Ave S
Nashville, TN 37210
Phone (615) 266-5599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1356218044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LIONCREST LN",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371792944",
            "telephone_number": "601-668-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 4TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102626",
            "telephone_number": "615-266-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1894 General George Patton Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370674665",
            "country_code": "US",
            "telephone_number": "615-266-5599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Molly Walton Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752199",
            "country_code": "US",
            "telephone_number": "615-266-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLUTION PERFORMANCE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER / FOUNDER / CEO",
        "authorized_official_telephone_number": "601-668-6775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.