Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Zachary David Pevnick, DPT

Individual provider Physical Therapist · NPI 1578879516

Dr. Zachary David Pevnick, DPT is a Physical Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
5
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12655 W Jefferson Blvd Fl 4
Los Angeles, CA 90066-7008
Phone: (310) 907-9215
Fax: (310) 953-3281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 36828 (CA)
Physical Therapist Taxonomy 225100000X · Licence 36828 (CA)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 36828 (CA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 36828 (CA)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 36828 (CA)

Record details

NPI number1578879516
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 27, 2010
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020

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