KICK PERFORMANCE THERAPY LLC
NPI 1235881178
Physical Therapist in Portland, OR

Active since January 21, 2022
EVOLUTION HEALTHCARE AND FITNESS, 905 SE ANKENY ST, PORTLAND, OR 97214(971) 236-7610 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Jan 21, 2022 (2 updates tracked since 2022).

About Kick Performance Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KICK PERFORMANCE THERAPY LLC (NPI 1235881178) is a healthcare organization registered as a physical therapist in Portland, Oregon and active in the NPI registry since January 2022. The organization lists Nathan Evans, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1235881178
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameKICK PERFORMANCE THERAPY LLC
Location AddressEVOLUTION HEALTHCARE AND FITNESS, 905 SE ANKENY STPortland, OR 97214
Mailing Address949 Nw Overton St Unit 1508Portland, OR 97209-3278 · (806) 670-3481
Organization SubpartNo
Authorized OfficialNathan EvansPhysical Therapist · (806) 670-3481
Enumeration DateJanuary 21, 2022
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
NPI 1235881178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
EVOLUTION HEALTHCARE AND FITNESS, Portland, OR 97214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kick Performance Therapy LLC's NPI number?

The NPI number for Kick Performance Therapy LLC is 1235881178. It was assigned to this organization in the NPPES registry on January 21, 2022.

Where is Kick Performance Therapy LLC located?

Kick Performance Therapy LLC is located at Evolution Healthcare And Fitness 905 SE Ankeny St, Portland, OR 97214. The listed phone number is (971) 236-7610.

What is Kick Performance Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Kick Performance Therapy LLC was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.