Trevor Schongalla, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61198 Issued in OR

Practice address

3303 SW Bond Ave
Portland, OR 97239-4501

Phone

(503) 494-3151

NPI assigned

Aug 18, 2015

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)

Enrolled

State licenses

Practice roles

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.

• Madonna Rehabilitation Hospital

  • Physical Medicine & Rehabilitation Physician
  • Lincoln, NE
  • NPI 1417045642
  NPD (past)
• Madonna Rehabilitation Hospital

  • Rehabilitation Hospital
  • Lincoln, NE
  • NPI 1558458091
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1043686645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062150",
            "telephone_number": "402-413-3900",
            "fax_number": "402-413-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 SW BOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394501",
            "telephone_number": "503-494-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONGALLA",
        "first_name": "TREVOR",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Scholibo
• Nicholas Alexander Schollars, PSYD
• Sarah Ann Scholtens, CCC-SLP
• Sarah Scholz
• Bonnie Kay Schonbachler, RN
• Todd Schooler, LCSW
• Katie A Schoonover, LCSW
• Heidi K Schopen, L.M.T.
• Christopher Michael Schoppert, CADC1
• Mark Scott Schorr, LPC, CADCI, NCC

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.