Active NPI
Lea Caroline Bevill, DPT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1790984797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5456
- Practice address
- 7255 E Broadway Rd
Mesa, AZ 85208-9201 - Phone
- (480) 981-8844
- Fax
- (480) 981-8844
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5456 | AZ | Primary |
Addresses
Primary practice location
7255 E Broadway Rd
Mesa, AZ 85208-9201
Mailing address
1610 W Desert Broom Dr
Chandler, AZ 85248-3671
Phone (480) 699-8292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090722 | Other | AZ | ARIZONA HEALTH CARE COST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5456 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LB Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Caring Hands Pediatric Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Chandler, AZ
- NPI 1750905345
-
- Home Health Agency
- Mesa, AZ
- NPI 1659690865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1790984797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 W DESERT BROOM DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483671",
"telephone_number": "480-699-8292",
"fax_number": "480-699-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7255 E BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852089201",
"telephone_number": "480-981-8844",
"fax_number": "480-981-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVILL",
"first_name": "LEA",
"middle_name": "CAROLINE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA HEALTH CARE COST",
"identifier": "090722",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.