Individual provider Active NPI

Trey Cameron Persson, DPT, ATC

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1154003275
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP039511T Issued in DC
Practice address
300 M St SE Unit 104
Washington, DC 20003-3400
Phone
(202) 221-8250
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305331 CA
Physical Therapist 225100000X CP029344T TX
Physical Therapist 225100000X 2653 SD
Physical Therapist 225100000X CP039511T DC Primary

Addresses

Primary practice location

300 M St SE Unit 104
Washington, DC 20003-3400

Mailing address

151 N Sunrise Ave Ste 902
Roseville, CA 95661-2929

Other practice location 1

1600 W 38th St Ste 132
Austin, TX 78731-6404
Phone (512) 348-2515

Other practice location 2

1001 G St NW
Washington, DC 20001-4545
Phone (202) 347-7745

Other practice location 3

151 N Sunrise Ave Ste 902
Roseville, CA 95661-2929
Phone (425) 342-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240820003940 TX Practitioner - Physical Therapist in Private Practice 2961940044 Reassigns benefits to 2 organizations
I20250204003950 DC Practitioner - Physical Therapist in Private Practice 2961940044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

300 M St SE
Unit 104
Washington, DC 20003-3400
Phone (202) 221-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305331CAMDPhysical Therapist
2653SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 30, 2025 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

300 M St SE
Unit 104
Washington, DC 20003
Phone (202) 221-8250

1001 G St NW
Washington, DC 20001
Phone (202) 347-7745

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 W 38th St
Ste 132
Austin, TX 78731
Phone (512) 348-2515

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 5

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1154003275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 902",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 M ST SE UNIT 104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033400",
            "telephone_number": "202-221-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W 38th St Ste 132",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316404",
            "country_code": "US",
            "telephone_number": "512-348-2515",
            "fax_number": "512-961-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 G St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200014545",
            "country_code": "US",
            "telephone_number": "202-347-7745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 N Sunrise Ave Ste 902",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612929",
            "country_code": "US",
            "telephone_number": "425-342-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSSON",
        "first_name": "TREY",
        "middle_name": "CAMERON",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305331",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP029344T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2653",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "CP039511T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.