Jason Wayne Trojacek, MPT
Individual provider Active NPI Physical Therapist · Groesbeck, TX
NPI 1003016510 · NPPES record last updated Dec 27, 2019
Key facts
- NPI
- 1003016510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1144632 (TX)
- Practice address
- 1023 N. Ellis
Groesbeck, TX 76642 - Phone
- (254) 729-0323
- Fax
- (254) 729-0328
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140319002170 | TX | Practitioner - Physical Therapist in Private Practice | 3779493176 | Practice locations: Groesbeck, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144632 | TX | MD | Orthopedic 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1144632 | TX | Yes |
| 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
Other providers in Groesbeck, TX
- South Limestone Hospital District
- South Limestone Hospital District
- South Limestone Hospital District
- South Limestone Hospital District Dba Limestone Medical Center/Family
- Kimberly Stevens
- Angela Rhae Trotter
- Tru Dental
- Vincent Personal Care Home
- Emily Kate Wagner
- Mary Katherine Walker
All providers in Groesbeck, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.