Individual provider Active NPI

David N. Pevsner, PT

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1386736577
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8202 Issued in CA
Practice address
6725 Kester Ave
Van Nuys, CA 91405-4523
Phone
(818) 789-3819
Fax
(818) 789-3546
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT8202 CA Primary

Addresses

Primary practice location

6725 Kester Ave
Van Nuys, CA 91405-4523

Mailing address

6725 Kester Ave
Van Nuys, CA 91405-4523
Phone (818) 785-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000464 CA Practitioner - Physical Therapist in Private Practice 7719939172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy WestGroup PAC ID 7719113224, 7 clinicians

Practice addresses (Care Compare)

44303 Lowtree Ave
Lancaster, CA 93534-4149
Phone (661) 940-5494

6200 Canoga Ave
Suite 105
Woodland Hills, CA 91367-2427
Phone (818) 222-1128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8202CAMDPhysical Therapist
8202CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy West Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients

Locations

44303 Lowtree Ave
Lancaster, CA 93534
Phone (661) 834-4812

6200 Canoga Ave
Ste 105
Woodland Hills, CA 91367
Phone (818) 222-1120

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1386736577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054523",
            "telephone_number": "818-785-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054523",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVSNER",
        "first_name": "DAVID",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.