Active NPI
Evolve Physical Therapy and Performance, Inc
- Orthopedic Physical Therapist
- Clovis, CA
National Provider Identifier
1861978512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT292568
- Legal business name
- EVOLVE PHYSICAL THERAPY AND PERFORMANCE, INC
- Practice address
- 340 Clovis Ave
Clovis, CA 93612-1116 - Phone
- (608) 239-4249
- NPI assigned
- Jul 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Hill
- Title
- Owner/Physical Therapist
- Phone
- (559) 573-6594
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT292568 | CA | Primary |
Addresses
Primary practice location
340 Clovis Ave
Clovis, CA 93612-1116
Mailing address
340 Clovis Ave
Clovis, CA 93612-1116
Phone (559) 650-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181221001413 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4385989219 |
Receives reassigned benefits from 4 practitioners Practice locations: Clovis, CA |
National Provider Directory
National Provider DirectoryLocations
340 Clovis Ave
Clovis, CA 93612
Phone (559) 650-0345
Practitioners & affiliated clinicians
Practitioners 4
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": "1531699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1861978512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 CLOVIS AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121116",
"telephone_number": "559-650-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 CLOVIS AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121116",
"telephone_number": "608-239-4249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE PHYSICAL THERAPY AND PERFORMANCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-16",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "559-573-6594"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT292568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.