Healthcare Provider Details

I. General information

NPI: 1285539288
Provider Name (Legal Business Name): EVOLVE PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5958 HIGHWAY 49 S LOT H
DADEVILLE AL
36853-6797
US

IV. Provider business mailing address

5958 HIGHWAY 49 S LOT H
DADEVILLE AL
36853-6797
US

V. Phone/Fax

Practice location:
  • Phone: 256-307-1136
  • Fax:
Mailing address:
  • Phone: 256-307-1136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMY OLIVER
Title or Position: PT/CLINICAL DIRECTOR
Credential: DPT
Phone: 256-307-1136