Trevor Staples, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

178149 Issued in AK

Practice address

11124 Old Seward Hwy Ste 200
Anchorage, AK 99515-0001

Phone

(907) 929-9009

Fax

(907) 312-7143

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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.

• United Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1609888130

  AK, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ideal Motion Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Eagle River, AK
  • NPI 1124497540

  AK, Physical Therapist

  Medicare reassignment NPD
• Rebound Sports and Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1407888902

  AK, Physical Therapist

  Medicare reassignment NPD
• Runners Edge Alaska

  • Physical Therapist
  • Anchorage, AK
  • NPI 1669017398

  AK, Physical Therapist

  Medicare reassignment NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Physical Therapy Inc 34 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2023.

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1336714716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 OLD SEWARD HWY STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995150001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 OLD SEWARD HWY STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995150001",
            "telephone_number": "907-929-9009",
            "fax_number": "907-312-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "TREVOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "178149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stannealh Inc. 2
• Stannealh Inc. 2
• Aiden Gregory Stansbury
• Jennifer Lindsey Stansel, BCBA
• Pamela Stapleford
• Seraphim J Stapleton, LMT
• Cady Stapor, RN
• Nathan Mathias Starbard
• Starfish Care Coordination LLC
• Ana Stark

• All providers in Anchorage, AK
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.