Healthcare Provider Details

I. General information

NPI: 1669452876
Provider Name (Legal Business Name): MICHELLE D BEVIL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 COVINGTON SQUARE DR
CARY NC
27513-4783
US

IV. Provider business mailing address

137 COVINGTON SQUARE DR
CARY NC
27513-4783
US

V. Phone/Fax

Practice location:
  • Phone: 239-641-3443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10344
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: