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DR. ZACHARY DAVID PEVNICK DPT
NPI 1578879516
Physical Therapist - Geriatrics in Los Angeles, CA

Active since August 27, 2010
12655 W JEFFERSON BLVD FL 4, LOS ANGELES, CA 90066(310) 907-9215(310) 953-3281 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zachary David Pevnick Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ZACHARY DAVID PEVNICK DPT (NPI 1578879516) is an individual geriatrics provider in Los Angeles, California, licensed in California (36828) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1578879516
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameDR. ZACHARY DAVID PEVNICKCredential: DPT
Location Address12655 W JEFFERSON BLVD FL 4Los Angeles, CA 90066-7008
Mailing Address12655 W Jefferson Blvd Fl 4Los Angeles, CA 90066-7008 · (310) 907-9215 · Fax (310) 953-3281
Phone(310) 907-9215
Fax(310) 953-3281
Sole ProprietorYes
Enumeration DateAugust 27, 2010
Last NPPES UpdateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
✔ NPI 1578879516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in CA · 36828
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
Also ListedPhysical TherapistTaxonomy 225100000X · License 36828 (CA)
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License 36828 (CA)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 36828 (CA)
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 36828 (CA)
12655 W JEFFERSON BLVD FL 4, Los Angeles, CA 90066
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALIFORNIA THERAPY SERVICES LLC
Physical Therapist
12655 W JEFFERSON BLVD FL 4
LOS ANGELES, CA 90066
Los Angeles County (310) 907-9215
GARY PEVNICK PT
Physical Therapist
12655 W JEFFERSON BLVD FL 4
LOS ANGELES, CA 90066
Los Angeles County (310) 907-9215
MR. ERIC JARVINA PT
Physical Therapist
12655 W JEFFERSON BLVD FL 4
LOS ANGELES, CA 90066
Los Angeles County (310) 907-9215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Pevnick's NPI number?

The NPI number for Zachary Pevnick is 1578879516. It was assigned to this individual provider in the NPPES registry on August 27, 2010.

Where is Zachary Pevnick located?

Zachary Pevnick practices at 12655 W Jefferson Blvd Fl 4, Los Angeles, CA 90066. The listed phone number is (310) 907-9215.

What is Zachary Pevnick's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Zachary Pevnick was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.