Individual provider Active NPI

Trae Anthony Mingus, DPT

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1124475074
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19546 Issued in NC
Practice address
75A Livingston St
Asheville, NC 28801-4353
Phone
(828) 281-7171
Fax
(828) 281-7177
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X P19546 NC Primary

Addresses

Primary practice location

75A Livingston St
Asheville, NC 28801-4353

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (828) 281-7171

Other practice location 1

8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692
Phone (704) 900-8960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404002204 NC Practitioner - Physical Therapist in Private Practice 6608296876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 William Penn PLZ
Durham, NC 27704-2150

14 Frankie LN
Asheville, NC 28804-8606

PO Box
Suite 5105
Belfast, ME 04915-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10373SCMDPharmacist
P19646NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalee PT Physical Therapist CurrentSince Jan 23, 2024 Accepting new patients
Emergeortho PA Past Accepting new patients
Emergeortho PA Multi-Specialty PastSince Feb 11, 2019 Accepting new patients

Locations

12 Old Charlotte Hwy
Ste 30
Asheville, NC 28803
Phone (828) 774-7391

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1124475074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "828-281-7171",
            "fax_number": "828-281-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75A LIVINGSTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014353",
            "telephone_number": "828-281-7171",
            "fax_number": "828-281-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8918 Blakeney Professional Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282776692",
            "country_code": "US",
            "telephone_number": "704-900-8960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINGUS",
        "first_name": "TRAE",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.