Trevyn Lloyd Despain, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24715 Issued in CA

Practice address

3908 10TH St
Riverside, CA 92501-3522

Phone

(951) 274-7744

Fax

(951) 274-7754

NPI assigned

Jan 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Socal Rehab Associates, IncGroup PAC ID 3274422951, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Socal Rehab Associates Inc

  dba Brockton Physical Therapy

  • Physical Therapist
  • Riverside, CA
  • NPI 1780662718
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1063490092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 ALEXIS LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741839",
            "telephone_number": "909-335-6395",
            "fax_number": "951-274-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 10TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013522",
            "telephone_number": "951-274-7744",
            "fax_number": "951-274-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPAIN",
        "first_name": "TREVYN",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LISENCE",
            "identifier": "24715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Errajith Bertrand Ricardo Desilva, M.D.
• Desire Home Care, Inc (Desire Home Health)
• Sofia Desirello
• Jessica Paige Desmond
• Ryan Despain, PT, DPT
• Raegan Desrosiers, RN
• Rochelle Destacamento, CAAR.CG.60712826
• Devadas Moses
• Kristopher Devasher
• Sandralee Deville

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.