Active NPI
Gary Allen Trubell, PT
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1033194519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20537 | CA | MD | Professional Counselor |
| PT20537 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campus Commons Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Rehab Managed Care of Arizona, Inc | Past | Accepting new patients | |
| Golden State Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Sacramento, CA
- NPI 1992787477
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- Hand Occupational Therapist
- Grass Valley, CA
- NPI 1114909629
Physical Therapist
-
- Physical Therapy Clinic/Center
- Grand Prairie, TX
- NPI 1205679164
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.