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

Geoffrey Michael Bevere

Individual provider Athletic Trainer · NPI 1568096808

Geoffrey Michael Bevere is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221
Phone: (310) 477-7774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 S College Ave, Newark, DE 19713-1302 — (973) 699-0898

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304941 (CA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1568096808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2020
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address622 S Barrington Ave Apt 309, Los Angeles, CA 90049-4425

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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