Individual provider Active NPI

Gary Allen Trubell, PT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1033194519
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20537 Issued in CA
Practice address
755 University Ave
Sacramento, CA 95825-6708
Phone
(916) 927-1333
Fax
(916) 927-1586
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20537 CA Primary

Addresses

Primary practice location

755 University Ave
Sacramento, CA 95825-6708

Mailing address

755 University Ave
Sacramento, CA 95825-6708
Phone (916) 927-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20537CAMDProfessional Counselor
PT20537CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Commons Physical Therapy, Inc. Physical Therapist PastSince Jul 16, 2014 Accepting new patients
Rehab Managed Care of Arizona, Inc PastSince Jul 1, 2013 Accepting new patients
Golden State Physical Therapy Inc Physical Therapist PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1033194519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256708",
            "telephone_number": "916-927-1333",
            "fax_number": "916-927-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256708",
            "telephone_number": "916-927-1333",
            "fax_number": "916-927-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBELL",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.