Organization Active NPI

Evolution Health and Performance, PLLC

  • Physical Therapy Clinic/Center
  • Stafford, VA
National Provider Identifier
1417760299
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EVOLUTION HEALTH AND PERFORMANCE, PLLC
Practice address
101 Galway LN
Stafford, VA 22554-9424
Phone
(301) 861-9237
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Evann N Slaughter-Justice, PT, DPT
Title
Physical Therapist
Phone
(301) 861-9237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

101 Galway LN
Stafford, VA 22554-9424

Mailing address

101 Galway LN
Stafford, VA 22554-9424
Phone (301) 861-9237

National Provider Directory

National Provider Directory

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1417760299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GALWAY LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225549424",
            "telephone_number": "301-861-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GALWAY LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225549424",
            "telephone_number": "301-861-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HEALTH AND PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER-JUSTICE",
        "authorized_official_first_name": "EVANN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "301-861-9237",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.