Individual provider Active NPI

Trista Farabaugh, DPT

  • Physical Therapist
  • Gettysburg, PA
National Provider Identifier
1114274909
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023514 Issued in PA
Practice address
10 Springs Ave
Gettysburg, PA 17325-1724
Phone
(717) 334-6834
Fax
(717) 334-3923
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207567 VA
Physical Therapist 225100000X PT023514 PA Primary

Addresses

Primary practice location

10 Springs Ave
Gettysburg, PA 17325-1724

Mailing address

1 Trinity Dr E Ste 110
Dillsburg, PA 17019-8522
Phone (717) 432-7719

Other names 1

  • Trista Dixon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303001501 PA Practitioner - Physical Therapist in Private Practice 6800112251 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207567VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FC Select LLC Physical Therapist CurrentSince Jan 6, 2015 Accepting new patients
PHS Physical Therapy, LLC CurrentSince Feb 2, 2015 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Feb 2, 2015 Accepting new patients

Locations

1 Trinity Dr E
Ste 110
Dillsburg, PA 17019
Phone (717) 231-8341

4033 Linglestown Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 657-8240

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

6108 Carlisle Pike
#27041
Mechanicsburg, PA 17050
Phone (717) 591-9118

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1114274909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRINITY DR E STE 110",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198522",
            "telephone_number": "717-432-7719",
            "fax_number": "717-432-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SPRINGS AVE",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251724",
            "telephone_number": "717-334-6834",
            "fax_number": "717-334-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARABAUGH",
        "first_name": "TRISTA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207567",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTA",
            "last_name": "DIXON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.