Trevor Jon Vanasselt, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

29665 William K Smith Dr
New Hudson, MI 48165-8580

Phone

(517) 420-8266

NPI assigned

Jul 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1164095907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 TEN MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789187",
            "telephone_number": "248-982-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29665 WILLIAM K SMITH DR",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481658580",
            "telephone_number": "517-420-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANASSELT",
        "first_name": "TREVOR",
        "middle_name": "JON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Baumeister Springer, PTA
• Jennifer Anne Steger, M.S., CCC-SLP
• Brandi Denise Sykes, NP
• Jamie George Taweel, D.O.
• Sarah E Tinsler, DO
• Nancy Wade, O.T.
• Wal-Mart Stores East , LP
• Wal-Mart Stores East, LP
• Danielle Renee Wehrman, DPT, PT
• Darrell Howard Weinenger, RPH

• Physical Therapy Assistant in New Hudson, MI
• Providers in New Hudson, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.