Active NPI
Trenton Jacob Tipton, PT, DPT
- Physical Therapist
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021167
- Practice address
- 1046 6TH Ave SW
Albany, OR 97321-1916 - Phone
- (541) 812-4000
- NPI assigned
- Jun 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP032012T | OR | |
| Physical Therapist | 225100000X | PT021167 | OH | Primary |
Addresses
Primary practice location
1046 6TH Ave SW
Albany, OR 97321-1916
Mailing address
43186 Jerrill Dr
Saint Clairsville, OH 43950-9647
Phone (740) 827-7849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Ohio Medical University, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
671 E Riverpark LN
Suite 150
Boise, ID 83706-6559
Phone (208) 912-6981
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021167 | OH | MD | Physical Therapist |
| CP032012T | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards and Associates Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Carolina Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Maleki Physical Therapy Services | Physical Therapist | Current | Accepting new patients |
Locations
671 E Riverpark Ln
Ste 150
Boise, ID 83706
Phone (208) 912-6981
1940 S Bonito Way
Ste 170
Meridian, ID 83642
Phone (208) 912-6615
159 Crossover Rd
Beulaville, NC 28518
Phone (910) 298-6455
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.
-
- Physical Therapist
- Boise, ID
- NPI 1972291045
-
- Physical Medicine & Rehabilitation Physician
- Beulaville, NC
- NPI 1720670862
Physical Therapist
-
- Physical Therapist
- Supply, NC
- NPI 1427142561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1124861380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43186 JERRILL DR",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439509647",
"telephone_number": "740-827-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 6TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211916",
"telephone_number": "541-812-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "TRENTON",
"middle_name": "JACOB",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "CP032012T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT021167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.