Dillon Trumbo, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

619 S Knik Goose Bay Rd
Wasilla, AK 99654-8075

Phone

(907) 982-3897

NPI assigned

Apr 25, 2016

Last updated

Apr 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Backcountry Therapeutics LLC

  • Occupational Therapist
  • Wasilla, AK
  • NPI 1184022550
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1003261314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876104",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876104",
            "telephone_number": "907-982-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S KNIK GOOSE BAY RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548075",
            "telephone_number": "907-982-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMBO",
        "first_name": "DILLON",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True North Recovery Inc
• True North Recovery Inc
• True North Recovery Inc
• True North Recovery Inc
• Tammy M Trulove
• Nicole Lauren Trumbo, COTA
• Trust the Journey, LLC
• Sasha Ann Tsurnos, LMSW, PSPIII, CDCS
• Sheena M Tuck
• Adam Tudor, D.C.

• Occupational Therapy Assistant in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Occupational Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.