Trystin Jarvis, PTA
Individual provider Active NPI Physical Therapy Assistant · Elgin, OK
NPI 1104767490 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1104767490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3595 (OK)
- Practice address
- 367 NW Bay Dr
Elgin, OK 73538-3062 - Phone
- (580) 678-1620
- NPI assigned
- Apr 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3595 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carter Dermatology LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3595 | OK | Yes |
Addresses
Primary practice location
367 NW Bay Dr
Elgin, OK 73538-3062
Mailing address
2017 Woodrock Dr
Duncan, OK 73533-1217
Other providers in Elgin, OK
- Heatherlynn Wincapaw Gruber
- Treyvon Harris
- Shyra Denee Howard
- Amanda Kaye Hughes
- Sheila Jeanette Hull
- Scott Jenkins
- Brendan Jones
- Lindsey Keeley
- Kyla Jo Koehler
- Tracie Lynn Koehler
All providers in Elgin, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.