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

Gary Pevnick, PT

Individual provider Physical Therapist · NPI 1245260769

Gary Pevnick, PT is a Physical Therapist in Los Angeles, California. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2865 Netherton Dr, Saint Louis, MO 63136-4674 — (314) 653-0918

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 00394 (MO)

Record details

NPI number1245260769
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020

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