Kenneth Joseph Trezza, NCTMB LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

5253 Issued in NM

Practice address

6915 Calle Almeria NE
Albuquerque, NM 87113-1093

Phone

(505) 345-9934

Fax

(505) 345-3708

NPI assigned

Apr 14, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Suncenter Medical Offices, LLC

  • Physical Therapy Clinic/Center
  • Albuquerque, NM
  • NPI 1750561742
  NPD (past)

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114142353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 CALLE ALMERIA NE",
            "address_2": "6915 CALLE ALMERIA N.E.",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131093",
            "telephone_number": "505-345-9934",
            "fax_number": "505-345-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 CALLE ALMERIA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131093",
            "telephone_number": "505-345-9934",
            "fax_number": "505-345-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREZZA",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "NCTMB LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "5253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "5253",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Trevisani
• Erick Trevizo
• Karla A Trevizo, MA, LMHC
• Liliana Trevizo
• Abigail Trezise, PHARMD, BCOP
• Tri Dental, LLC (Sonrisa Family Dental)
• Tri Peak Behavioral Health LLC
• Hillary Sue Triana, FNP
• Tribal Audiology
• Mary Trice

• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.