OrganizationActive
Kick Performance Therapy LLC
NPI 1235881178 · Physical Therapist · Portland, OR
Provider details
- NPI number
- 1235881178
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Nathan Evans, Physical Therapist(806) 670-3481
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Evolution Healthcare and Fitness
905 Se Ankeny St
Portland, OR 97214
Phone: (971) 236-7610
Approximate (ZIP-level) locationGet directions
Mailing address
949 Nw Overton St Unit 1508
Portland, OR 97209-3278
Registry dates
- Enumerated
- 2022-01-21
- Last updated
- 2025-08-05
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.