Individual provider Active NPI

Trevor Wilt, DPT/OTR/L

  • Physical Therapist
  • Denver, NC
National Provider Identifier
1295981215
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10603 Issued in NC
Practice address
2449 Smith Cove Rd
Denver, NC 28037-7004
Phone
(704) 651-9266
NPI assigned
Aug 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10603 NC Primary

Addresses

Primary practice location

2449 Smith Cove Rd
Denver, NC 28037-7004

Mailing address

3921 Willowick Park Dr
Wilmington, NC 28409-3695
Phone (910) 599-6860

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

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Therapy Franchising, LLC Physical Therapist CurrentSince Feb 2, 2020 Accepting new patients

Locations

530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810

Organizations & group practices 1

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": "1218326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1295981215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 WILLOWICK PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093695",
            "telephone_number": "910-599-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 SMITH COVE RD",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377004",
            "telephone_number": "704-651-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "TREVOR",
        "credential": "DPT/OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-10",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.