Individual provider Active NPI

Trey Linville, DPT

  • Physical Therapist
  • Collierville, TN
National Provider Identifier
1073271656
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13713 Issued in TN
Practice address
622 W Poplar Ave Ste 5
Collierville, TN 38017-2578
Phone
(901) 850-5246
Fax
(901) 850-5226
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13713 TN Primary

Addresses

Primary practice location

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578

Mailing address

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578
Phone (901) 850-5246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211208001246 TN Practitioner - Physical Therapist in Private Practice 9931599800 Reassigns benefits to 1 organization
I20230921002305 MS Practitioner - Physical Therapist in Private Practice 9931599800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
15.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
50.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Napoli Physical Therapy LLC CurrentSince Aug 1, 2023 Accepting new patients
Pittman Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients

Locations

2631 McIngvale Rd
Ste 108
Hernando, MS 38632
Phone (662) 469-9054

622 W Poplar Ave
Ste 5
Collierville, TN 38017
Phone (901) 850-5246

632 W Poplar Ave
Collierville, TN 38017
Phone (901) 850-5246

Interoperability endpoints

  • Direct secure messaging: trey.linville.1@1366.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1073271656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE STE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172578",
            "telephone_number": "901-850-5246",
            "fax_number": "901-850-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE STE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172578",
            "telephone_number": "901-850-5246",
            "fax_number": "901-850-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "TREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.