Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kick Performance Therapy LLC

Organization Physical Therapist · NPI 1235881178

Kick Performance Therapy LLC is a Physical Therapist in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Evolution Healthcare And Fitness 905 SE Ankeny St
Portland, OR 97214
Phone: (971) 236-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1235881178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Evans — Physical Therapist · (806) 670-3481
NPI enumeratedJanuary 21, 2022
Last updated in NPPESAugust 5, 2025
Certification dateJuly 31, 2025
Mailing address949 Nw Overton St Unit 1508, Portland, OR 97209-3278

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