Active NPI
Jason Wayne Trojacek, MPT
- Physical Therapist
- Groesbeck, TX
National Provider Identifier
1003016510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1144632
- Practice address
- 1023 N. Ellis
Groesbeck, TX 76642 - Phone
- (254) 729-0323
- Fax
- (254) 729-0328
- NPI assigned
- Jul 23, 2007
- Last updated
- Dec 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1144632 | TX | Primary |
| Pediatric Physical Therapist | 2251P0200X | 1144632 | TX | |
| Sports Physical Therapist | 2251S0007X | 1144632 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1144632 | TX |
Addresses
Primary practice location
1023 N. Ellis
Groesbeck, TX 76642
Mailing address
1023 N. Ellis
Groesbeck, TX 76642
Phone (254) 729-0323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140319002170 | TX | Practitioner - Physical Therapist in Private Practice | 3779493176 | Practice locations: Groesbeck, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1023 N Ellis St
Groesbeck, TX 76642-2329
Phone (254) 729-0323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144632 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Groesbeck Therapy Services | Current | Accepting new patients |
Locations
1023 N Ellis St
Groesbeck, TX 76642
Phone (254) 729-0323
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Groesbeck, TX
- NPI 1437580933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1003016510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 N. ELLIS",
"city": "GROESBECK",
"state": "TX",
"postal_code": "76642",
"telephone_number": "254-729-0323",
"fax_number": "254-729-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 N. ELLIS",
"city": "GROESBECK",
"state": "TX",
"postal_code": "76642",
"telephone_number": "254-729-0323",
"fax_number": "254-729-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROJACEK",
"first_name": "JASON",
"middle_name": "WAYNE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1144632",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1144632",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1144632",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1144632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groesbeck, TX
- South Limestone Hospital District (Family Medicine Center)
- South Limestone Hospital District (Groesbeck LTC Nursing and Rehabilitation)
- South Limestone Hospital District (Limestone Medical Center)
- South Limestone Hospital District Dba Limestone Medical Center/Family
- Kimberly Stevens, RN
- Angela Rhae Trotter, FNP-C
- Tru Dental
- Vincent Personal Care Home
- Emily Kate Wagner, MD
- Mary Katherine Walker, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.