Trevor Dimich

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301771 Issued in CA

Practice address

39180 Farwell Dr Ste 101
Fremont, CA 94538-1015

Phone

(510) 438-0294

NPI assigned

Feb 21, 2022

Last updated

Feb 24, 2025By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Midwestern University College of Dental Medicine, Glendale, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sport Clinic Inc

  • Physical Therapist
  • Fremont, CA
  • NPI 1497771901
  Medicare reassignment NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Livermore, CA
  • NPI 1427710094
  NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
  • NPI 1487317004

  Physical Therapist

  NPD

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1093460701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 KINGSFORD WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945416538",
            "telephone_number": "408-332-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR STE 101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381015",
            "telephone_number": "510-438-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMICH",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "west.ptpracticepro.com",
            "affiliation": "N",
            "address_1": "39180 Farwell Dr Ste 101",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jan Von Dickey, MD
• Neal S Dickler, MD
• Andrew Ben Diesh
• Carlos Josue Dimas-Vargas
• Brianne Dimiceli
• Ronald Joseph Dimichele
• Gregory Dimont, PHARMD
• Alfred Shoalan Ding, D.D.S., M.S.
• Xiufen Ding, MD
• Andrea Salazar Dinh, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.