Individual provider Active NPI

Joseph Alan Trout, PT, DPT, MS, CSCS

  • Physical Therapist
  • Beaver, WV
National Provider Identifier
1134595788
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003528 Issued in WV
Practice address
993 Ritter Dr Ste 2
Beaver, WV 25813-9556
Phone
(276) 698-1275
NPI assigned
Aug 18, 2015
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003528 WV Primary

Addresses

Primary practice location

993 Ritter Dr Ste 2
Beaver, WV 25813-9556

Mailing address

133 Rosemar Rd Ste 1
Parkersburg, WV 26104-7609
Phone (304) 693-2781

Other practice location 1

1500 Grand Central Ave Ste 101
Vienna, WV 26105-1079
Phone (304) 295-3060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110003013 WV Practitioner - Physical Therapist in Private Practice 3375853930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

993 Ritter Dr
Suite 2
Beaver, WV 25813-9556
Phone (276) 698-1275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT003528WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Health and Physical Therapy LLC Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1134595788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROSEMAR RD STE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047609",
            "telephone_number": "304-693-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 RITTER DR STE 2",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139556",
            "telephone_number": "276-698-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Grand Central Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "WV",
            "postal_code": "261051079",
            "country_code": "US",
            "telephone_number": "304-295-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUT",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "credential": "PT, DPT, MS, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.