EVOLUTION PHYSICAL THERAPY & WELLNESS
NPI 1568053742
Physical Therapist in Grass Valley, CA

Active since January 29, 2021
130 W BERRYHILL DR, GRASS VALLEY, CA 95945(530) 205-9538 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evolution Physical Therapy & Wellness NPPES

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

EVOLUTION PHYSICAL THERAPY & WELLNESS (NPI 1568053742) is a healthcare organization registered as a physical therapist in Grass Valley, California and active in the NPI registry since January 2021. The organization lists Miranda Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1568053742
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameEVOLUTION PHYSICAL THERAPY & WELLNESS
Location Address130 W BERRYHILL DRGrass Valley, CA 95945-5835
Mailing Address130 W Berryhill DrGrass Valley, CA 95945-5835 · (530) 205-9538
Organization SubpartNo
Authorized OfficialMiranda SmithPractice Manager · (530) 205-9538
Enumeration DateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1568053742 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.
130 W BERRYHILL DR, Grass Valley, CA 95945

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolution Physical Therapy & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Evolution Physical Therapy & Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1013356831
130 W BERRYHILL DR
Grass Valley, CA 95945
(530) 205-9538
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1184114779
104 MAGARET LANE
Grass Valley, CA 95945
(530) 263-8006
✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evolution Physical Therapy & Wellness's NPI number?

The NPI number for Evolution Physical Therapy & Wellness is 1568053742. It was assigned to this organization in the NPPES registry on January 29, 2021.

Where is Evolution Physical Therapy & Wellness located?

Evolution Physical Therapy & Wellness is located at 130 W Berryhill Dr, Grass Valley, CA 95945. The listed phone number is (530) 205-9538.

What is Evolution Physical Therapy & Wellness's specialty?

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

Is Evolution Physical Therapy & Wellness enrolled in Medicare?

Yes. Evolution Physical Therapy & Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolution Physical Therapy & Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Evolution Physical Therapy & Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evolution Physical Therapy & Wellness was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.