Individual provider Active NPI

David C Trotman, P.T.

  • Physical Therapist
  • Longmeadow, MA
National Provider Identifier
1316973142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4978 Issued in MA
Practice address
167 Dwight Rd
Longmeadow, MA 01106-1752
Phone
(413) 567-6777
Fax
(413) 567-9555
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4978 MA Primary

Addresses

Primary practice location

167 Dwight Rd
Longmeadow, MA 01106-1752

Mailing address

1275 Elm St
West Springfield, MA 01089-1820
Phone (413) 785-1153

Other identifiers 1

IdentifierTypeStateIssuer
Y68490OtherMABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000629 MA Practitioner - Physical Therapist in Private Practice 8325064884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Spine and Sports Physicians PCGroup PAC ID 5991609174, 30 clinicians

Practice addresses (Care Compare)

271 Park St
West Springfield, MA 01089-3311
Phone (413) 785-1153

766 N King St
Northampton, MA 01060-1142
Phone (413) 785-1153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4978MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Spine and Sports Physicians, PC Physical Therapist CurrentSince Sep 7, 2005 Accepting new patients
Pioneer Spine and Sports Physicians PC CurrentSince Sep 7, 2005 Accepting new patients

Locations

766 N King St
Northampton, MA 01060
Phone (413) 586-0230

271 Park St
West Springfield, MA 01089
Phone (413) 785-1153

1275 Elm St
West Springfield, MA 01089
Phone (413) 785-1153

Organizations & group practices 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316973142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 ELM ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891820",
            "telephone_number": "413-785-1153",
            "fax_number": "413-781-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 DWIGHT RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061752",
            "telephone_number": "413-567-6777",
            "fax_number": "413-567-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTMAN",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y68490",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.