Trever Kingsbury, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

173296 Issued in AK

Practice address

3890 University Lake Dr Ste 110
Anchorage, AK 99508-4669

Phone

(907) 249-5542

NPI assigned

Jan 1, 2024

Last updated

Jan 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Runners Edge AlaskaGroup PAC ID 3971978537, 6 clinicians

Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: trever.kingsbury.p1@direct.opaak.nextgenshare.com

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.

• Orthoalaska, LLC

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1336504521

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Runners Edge Alaska

  • Physical Therapist
  • Anchorage, AK
  • NPI 1669017398
  Medicare reassignment Care Compare group NPD
• Orthoalaska LLC

  dba Primary Care Associates

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1528937570
  NPD
• Orthoalaska LLC

  dba Orthopedic Physicians Alaska

  • Rheumatology Physician
  • Anchorage, AK
  • NPI 1265293252
  NPD (past)

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1083483051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 E 86TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073661",
            "telephone_number": "231-622-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 UNIVERSITY LAKE DR STE 110",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084669",
            "telephone_number": "907-249-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBURY",
        "first_name": "TREVER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "173296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria King, LMT
• Rhiannon Nicholle King, LPC, NCC, CRC
• Sarah Caroline King, LMT
• Sheila R King, CHT-OTR/L
• Leigh Marie Kingsbury
• David Kingston, PA-C
• Edwin Kinisu, MBA
• Kimberly Joy Kinnebrew, PA-C
• Amber May Kinney
• Hannah Layne Kinney, OTD, OTR/L

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.