Individual provider Active NPI

Trevor Tice, PA-C

  • Medical Physician Assistant
  • Arlington, TX
National Provider Identifier
1245097799
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17968 Issued in TX
Practice address
400 W Arbrook Blvd Ste 320
Arlington, TX 76014-3180
Phone
(866) 552-4866
NPI assigned
Mar 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17968 TX Primary

Addresses

Primary practice location

400 W Arbrook Blvd Ste 320
Arlington, TX 76014-3180

Mailing address

12221 Merit Dr Ste 620
Dallas, TX 75251-3222
Phone (866) 552-4866

Other practice location 1

800 Medical Center Dr
Decatur, TX 76234-3843
Phone (940) 626-2110

Other practice location 2

512 W Bonds Ranch Rd Ste 150
Fort Worth, TX 76131-3915
Phone (866) 552-4866

Other practice location 3

4616 US Hwy 75 Ste 170
Denison, TX 75020-4582
Phone (866) 552-4866

Other practice location 4

4450 Sojourn Dr Ste 200
Addison, TX 75001-5000
Phone (866) 552-4866

Other practice location 5

2101 Westpark Ct Ste 320
Euless, TX 76040-3733
Phone (866) 552-4866

Other practice location 6

1030 S Coit Rd Ste A
Prosper, TX 75078-2950
Phone (866) 552-4866

Other practice location 7

2777 E Southlake Blvd Ste 140
Southlake, TX 76092-8017
Phone (866) 552-4866

Other practice location 8

2701 S Hampton Rd Ste 220B
Dallas, TX 75224-2363
Phone (866) 552-4866

Other practice location 9

6149 Windhaven Pkwy Ste 130
Plano, TX 75093-8298
Phone (866) 552-4866

Other practice location 10

4441 Long Prairie Rd Ste 400
Flower Mound, TX 75028-5410
Phone (866) 552-4866

Other practice location 11

3400 Interstate Highway 30 Ste 180
Mesquite, TX 75150-2601
Phone (866) 552-4866

Other practice location 12

8080 State Highway 121 Ste 200
McKinney, TX 75070-2902
Phone (866) 552-4866

Other practice location 13

17051 Dallas Pkwy Ste 220
Addison, TX 75001-7145
Phone (866) 552-4866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528000635 TX Practitioner - Physician Assistant 6305288010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

2150 N Josey LN
Suite 202
Carrollton, TX 75006-2912
Phone (972) 242-0660

400 W Arbrook Blvd
Suite 201
Arlington, TX 76014-3176
Phone (817) 467-1990

400 W Arbrook Blvd
Suite 320
Arlington, TX 76014-3180
Phone (866) 552-4866

512 W Bonds Ranch Rd
Suite 150
Fort Worth, TX 76131-3915
Phone (866) 552-4866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC CurrentSince Oct 29, 2024 Accepting new patients
Interventional Partners PLLC CurrentSince Oct 29, 2024 Accepting new patients
Morris Healthcare & Associates, PLLC Past Accepting new patients

Locations

17051 Dallas Pkwy
Ste 220
Addison, TX 75001

4450 Sojourn Dr
Ste 200
Addison, TX 75001
Phone (469) 850-5760

400 W Arbrook Blvd
Ste 320
Arlington, TX 76014

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

461 Highlander Blvd Ste 171
Arlington, TX 76014

461 Highlander Blvd Ste 141
Arlington, TX 76014

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

2701 S Hampton Rd
Ste 220B
Dallas, TX 75224

3107 W Camp Wisdom Rd
Ste 110
Dallas, TX 75237
Phone (214) 765-2222

4616 US Highway 75
Ste 170
Denison, TX 75020
Phone (866) 946-4085

2101 Westpark Ct
Ste 320
Euless, TX 76040
Phone (214) 935-5177

512 W Bonds Ranch Rd
Ste 150
Fort Worth, TX 76131
Phone (817) 488-6369

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

8080 State Highway 121
Ste 200
McKinney, TX 75070
Phone (972) 359-0733

3400 Interstate 30
Ste 180
Mesquite, TX 75150

6149 Windhaven Pkwy
Ste 130
Plano, TX 75093
Phone (972) 881-1320

1030 S Coit Rd
Ste A
Prosper, TX 75078

2777 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (817) 488-7511

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: trevor.tice.1@2477.direct.athenahealth.com

Organizations & group practices 4

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1245097799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 620",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513222",
            "telephone_number": "866-552-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 320",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143180",
            "telephone_number": "866-552-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343843",
            "country_code": "US",
            "telephone_number": "940-626-2110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 W Bonds Ranch Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761313915",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4616 US Hwy 75 Ste 170",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750204582",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4450 Sojourn Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750015000",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Westpark Ct Ste 320",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403733",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 S Coit Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782950",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2777 E Southlake Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760928017",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 S Hampton Rd Ste 220B",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752242363",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6149 Windhaven Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938298",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 Long Prairie Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750285410",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Interstate Highway 30 Ste 180",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751502601",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8080 State Highway 121 Ste 200",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750702902",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17051 Dallas Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750017145",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICE",
        "first_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.