Organization Active NPI

Trilogy Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Ames, IA
National Provider Identifier
1043883564
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRILOGY PHYSICAL THERAPY PLLC
Practice address
214 Main St Ste 101
Ames, IA 50010-6285
Phone
(515) 450-8541
NPI assigned
Jul 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Jennifer Oetker, PTNPI 1376653469
Title
Owner
Phone
(515) 450-8541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

214 Main St Ste 101
Ames, IA 50010-6285

Mailing address

214 Main St Ste 101
Ames, IA 50010-6285
Phone (515) 450-8541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210804002741 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294139838 Receives reassigned benefits from 3 practitioners
Practice locations: Ames, IA

National Provider Directory

National Provider Directory

Locations

4611 Mortensen Rd
Ste 101
Ames, IA 50014
Phone (515) 207-3355

205 Clark Ave
Ste 1
Ames, IA 50010
Phone (515) 207-3355

214 Main St
Ste 101
Ames, IA 50010
Phone (515) 207-3355

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1043883564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN ST STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106285",
            "telephone_number": "515-450-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106285",
            "telephone_number": "515-450-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "OETKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-450-8541",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.