Mark W Trivett, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20665 Issued in MD

Practice address

1920 Greenspring Dr
Suite 100
Timonium, MD 21093-4112

Phone

(410) 560-3931

Fax

(410) 560-0877

NPI assigned

Feb 13, 2006

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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.

• WP-PT LLC

  dba Active Life PT

  • Physical Therapist
  • Lutherville, MD
  • NPI 1043663206
  Medicare reassignment NPD
• Conrad & Renzi, P.a.

  • Physical Therapy Clinic/Center
  • Towson, MD
  • NPI 1457880148
  NPD (past)
• Conrad & Renzi, P.a.

  dba Spine and Sports Rehab Center

  • Physical Therapist
  • Towson, MD
  • NPI 1780658344
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1114991783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 GREENSPRING DR",
            "address_2": "SUITE 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934112",
            "telephone_number": "410-560-3931",
            "fax_number": "410-560-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 GREENSPRING DR",
            "address_2": "SUITE 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934112",
            "telephone_number": "410-560-3931",
            "fax_number": "410-560-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVETT",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timonium Dental & Specialty LLC (BluePointe Dental (Timonium))
• Timonium Family Dentistry
• Timonium Surgery Center, LLC
• Patricia Tom, M.D.
• Richard Lloyd Trader, PA-C
• True Sports Physical Therapy, LLC
• Emily Turner, CCC-SLP
• Joanna B Tyzack, MD
• Sandra Uba
• Umeed Center for Healing Relationships, LLC

• Physical Therapist in Timonium, MD
• Providers in Timonium, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.