Active NPI
Elizabeth Minard Trumble, PT
- Physical Therapist
- York, PA
National Provider Identifier
1235715368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010204L
- Practice address
- 228 Saint Charles Way Ste 101
York, PA 17402-4661 - Phone
- (717) 812-2212
- NPI assigned
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010204L | PA | Primary |
Addresses
Primary practice location
228 Saint Charles Way Ste 101
York, PA 17402-4661
Mailing address
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010204L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1235715368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MONUMENT RD",
"city": "YORK",
"state": "PA",
"postal_code": "174035023",
"telephone_number": "717-812-6372",
"fax_number": "717-747-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 SAINT CHARLES WAY STE 101",
"city": "YORK",
"state": "PA",
"postal_code": "174024661",
"telephone_number": "717-812-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMBLE",
"first_name": "ELIZABETH",
"middle_name": "MINARD",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT010204L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.