Richelle Trebilcock, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001261 Issued in CT

Practice address

302 W Main St Ste 204
Avon, CT 06001-4306

Phone

(860) 679-0430

NPI assigned

Aug 14, 2017

Sex

Female

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

State licenses

Practice roles

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.

• Magna Physical Therapy & Golf Medicine Center, LLC

  • Physical Therapy Clinic/Center
  • Avon, CT
  • NPI 1548411234
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1174048904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MIDDLESEX AVE",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121309",
            "telephone_number": "602-316-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST STE 204",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014306",
            "telephone_number": "860-679-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREBILCOCK",
        "first_name": "RICHELLE",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "001261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Marie Toni, LPC
• Susan Rylander Toomey
• Donald E Topor, LCSW
• Ali Torabzadeh, M.D.
• Lena Tran, SLP
• Heather Elizabeth Trompeter, NP
• Carissa Ann Tufano, MSN
• Carol Burnham Tuller, APRN
• Sapora Turenshine
• Cristina Turner, LCSW

• Athletic Trainer in Avon, CT
• Providers in Avon, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.