Individual provider Active NPI

Trevor McKibbin, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1275338204
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP056207T Issued in CO
Practice address
1 Righter Pkwy Ste 150
Wilmington, DE 19803-1510
Phone
(302) 477-1536
NPI assigned
Feb 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0015034 DE
Physical Therapist 225100000X
Physical Therapist 225100000X 30306 MD
Physical Therapist 225100000X CP056207T CO Primary

Addresses

Primary practice location

1 Righter Pkwy Ste 150
Wilmington, DE 19803-1510

Mailing address

7521 Cherry Tree Dr
Fulton, MD 20759-9735
Phone (202) 794-9386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318001568 DE Practitioner - Physical Therapist in Private Practice 2860914017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite PT LLCGroup PAC ID 7315032711, 17 clinicians

Practice addresses (Care Compare)

1 Righter Pkwy
Suite 150
Wilmington, DE 19803-1510
Phone (302) 477-1536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30306MDMDSocial Worker
CP056207TCOMDPhysical Therapist
J1-0015034DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite PT LLC CurrentSince Mar 10, 2025 Accepting new patients
Elite PT LLC Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients

Locations

100 Fitness Way
Hockessin, DE 19707
Phone (302) 234-1030

1 Grenoble Pl
Rehoboth Beach, DE 19971
Phone (302) 226-2691

1 Righter Pkwy
Ste 150
Wilmington, DE 19803
Phone (302) 317-2747

Organizations & group practices 3

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1275338204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 CHERRY TREE DR",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599735",
            "telephone_number": "202-794-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIGHTER PKWY STE 150",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031510",
            "telephone_number": "302-477-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBIN",
        "first_name": "TREVOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0015034",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30306",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP056207T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.