Active NPI
Trevor Foster, PT, DPT
- Physical Therapist
- Cleveland, OH
National Provider Identifier
1275128340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019089
- Practice address
- 1730 W 25TH St
Cleveland, OH 44113-3108 - Phone
- (216) 696-4300
- NPI assigned
- Mar 1, 2021
- Sex
- Male
- 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 | PT019089 | OH | Primary |
Addresses
Primary practice location
1730 W 25TH St
Cleveland, OH 44113-3108
Mailing address
3904 W 157TH St
Cleveland, OH 44111-5826
Other practice location 1
3864 Center Rd Ste B1
Brunswick, OH 44212-6601
Phone (330) 220-8950
Other practice location 2
3151 Mayfield Rd
Cleveland Heights, OH 44118-1757
Phone (216) 242-1821
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019089 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615075200000",
"number": "1275128340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 W 157TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W 25TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-696-4300"
}
],
"practiceLocations": [
{
"address_1": "3864 Center Rd Ste B1",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "OH",
"postal_code": "442126601",
"country_code": "US",
"telephone_number": "330-220-8950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3151 Mayfield Rd",
"address_purpose": "LOCATION",
"city": "Cleveland Heights",
"state": "OH",
"postal_code": "441181757",
"country_code": "US",
"telephone_number": "216-242-1821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSTER",
"first_name": "TREVOR",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-07",
"certification_date": "2021-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.