OrganizationActive
Evolutions on Fifth, LLC
NPI 1346916632 · Mechanotherapist · Columbus, MS
Provider details
- NPI number
- 1346916632
- Entity type
- Organization
- Primary specialty
- MechanotherapistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jeff Bolling, Director(662) 497-0457
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(62/100 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
122 5th St N
Columbus, MS 39701-4522
Phone: (662) 630-5160
Street-level locationGet directions
Mailing address
122 5th St N
Columbus, MS 39701-4522
Other names (DBA / former)
- Doing business as
- Mississippi Mobile Vaccination Clinic
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.