Individual provider Active NPI

Trevor Franck, DPT

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1154706273
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
078158 Issued in IA
Practice address
1220 Jacolyn Dr SW
Cedar Rapids, IA 52404-1288
Phone
(319) 396-0222
Fax
(319) 396-1525
NPI assigned
Jul 30, 2015
Last updated
Nov 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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 078158 IA Primary

Addresses

Primary practice location

1220 Jacolyn Dr SW
Cedar Rapids, IA 52404-1288

Mailing address

2401 Towncrest Dr
Iowa City, IA 52240-6631
Phone (319) 354-2429

Other identifiers 1

IdentifierTypeStateIssuer
0665463MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929001207 IA Practitioner - Physical Therapist in Private Practice 8022326875 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078158IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Aug 26, 2015 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 26, 2015 Accepting new patients
Progressive Rehabilitation Associates L.L.C. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Progressive Rehab Chiropractic, L.L.C. Past Accepting new patients
Premier Physical Therapy of Iowa Physical Therapist PastSince Oct 29, 2023 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

1220 Jacolyn Dr SW
Cedar Rapids, IA 52404
Phone (319) 213-2399

4000 River Ridge Dr NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 200-3063

450 Laurel St
Des Moines, IA 50314
Phone (515) 323-6485

2166 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 395-6000

1130 S Scott Blvd
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429

1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800

2401 Towncrest Dr
Iowa City, IA 52240
Phone (319) 354-2429

Organizations & group practices 7

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1154706273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406631",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 JACOLYN DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041288",
            "telephone_number": "319-396-0222",
            "fax_number": "319-396-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCK",
        "first_name": "TREVOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "078158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.