Active NPI
Jenee Lee Trcka, MSPT
- Sports Physical Therapist
- Lehi, UT
National Provider Identifier
1043366222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 6434200-2401
- Practice address
- 680 E Main St
Suite 101
Lehi, UT 84043-2241 - Phone
- (801) 768-2723
- NPI assigned
- Jan 28, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 6434200-2401 | UT | Primary |
Addresses
Primary practice location
680 E Main St
Suite 101
Lehi, UT 84043-2241
Mailing address
539 S 900 W
#305
Pleasant Grove, UT 84062-2385
Phone (214) 450-5363
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 |
|---|---|---|---|
| 6434200-2401 | UT | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Physical Therapy and Sports Medicine | Sports | Past | Accepting new patients |
Organizations & group practices 1
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": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043366222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 S 900 W",
"address_2": "#305",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622385",
"telephone_number": "214-450-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 E MAIN ST",
"address_2": "SUITE 101",
"city": "LEHI",
"state": "UT",
"postal_code": "840432241",
"telephone_number": "801-768-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRCKA",
"first_name": "JENEE",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "UT",
"license": "6434200-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.