Jacob Roland Bevell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6361 Issued in NV

Practice address

2550 Nature Park Dr Ste 250
North Las Vegas, NV 89084-3206

Phone

(702) 863-9499

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Kime Performance Nevada LLC 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kime Performance Nevada LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1053918185

  NV

  Medicare reassignment Care Compare group NPD
• Mikla Dunning Physical Therapy Systems, PC

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1619334992
  NPD (past)

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1780440792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 TIERRA BUENA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104944",
            "telephone_number": "702-863-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NATURE PARK DR STE 250",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843206",
            "telephone_number": "702-863-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVELL",
        "first_name": "JACOB",
        "middle_name": "ROLAND",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Bethlen
• Britni Bettencourt
• Better Everyday LLC
• Bonnie Sue Betts, NP
• Bettylee'S Home Health Care LLC
• Vicky Beverly
• Larry Bevett
• Beyond Blue Health Services
• Lisa Bhagan, M.D.
• BHG Lxxxii, LLC

• All providers in North Las Vegas, NV
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.