Individual provider Active NPI

Trevor Matthew Seward, PA, ATC

  • Physician Assistant
  • Saint Albans, VT
National Provider Identifier
1003404815
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055.0031501 Issued in VT
Practice address
133 Fairfield St Ste 101
Saint Albans, VT 05478-1726
Phone
(802) 524-1232
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 055.0031501 VT Primary

Addresses

Primary practice location

133 Fairfield St Ste 101
Saint Albans, VT 05478-1726

Mailing address

2 Brownell Way
South Burlington, VT 05403-7855
Phone (802) 735-3603

Other practice location 1

2 Brownell Way
South Burlington, VT 05403-7855
Phone (802) 735-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210513001415 VT Practitioner - Physician Assistant 0941619431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Copley Hospital IncGroup PAC ID 9234125766, shared by 2 NPIs, 61 clinicians

Practice addresses (Care Compare)

528 Washington Hwy
Morrisville, VT 05661-8973

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
055.0031501VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Jun 4, 2021 Accepting new patients
Northwestern Medical Center Inc Multi-Specialty CurrentSince Jun 4, 2021 Accepting new patients
Copley Hospital, Inc CurrentSince Jan 6, 2025 Accepting new patients
Copley Hospital, Inc. Multi-Specialty Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Multi-Specialty Current Accepting new patients
Copley Hospital Inc Multi-Specialty Current Accepting new patients

Locations

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

133 Fairfield St
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1232

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/copley-345ebd55
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAAJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAAJBA/Endpoint/CAAJBA

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1003404815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROWNELL WAY",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037855",
            "telephone_number": "802-735-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FAIRFIELD ST STE 101",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781726",
            "telephone_number": "802-524-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Brownell Way",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054037855",
            "country_code": "US",
            "telephone_number": "802-735-3603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWARD",
        "first_name": "TREVOR",
        "middle_name": "MATTHEW",
        "credential": "PA, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.