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

Jacob Roland Bevell, DPT

Individual provider Physical Therapist · NPI 1780440792

Jacob Roland Bevell, DPT is a Physical Therapist in Private Practice in North las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with Kime Performance Nevada LLC, a 6-clinician group. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2024
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

2550 Nature Park Dr Ste 250
North las Vegas, NV 89084-3206
Phone: (702) 863-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6361 (NV)

Record details

NPI number1780440792
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kime Performance Nevada Llc — 6 clinicians
Accepts Medicare assignment Not indicated

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