Active NPI
Trevor Jones
- Physical Therapy Assistant
- Mt Pleasant, MI
National Provider Identifier
1336895093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502006019
- Practice address
- 609 S Franklin St Apt C
Mount Pleasant, MI 48858-3165 - Phone
- (989) 600-2420
- NPI assigned
- Feb 22, 2022
- Last updated
- Feb 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 5502006019 | MI | Primary |
Addresses
Primary practice location
609 S Franklin St Apt C
Mount Pleasant, MI 48858-3165
Mailing address
609 S Franklin St Apt C
Mount Pleasant, MI 48858-3165
Phone (989) 600-2420
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502006019 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1336895093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S FRANKLIN ST APT C",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583165",
"telephone_number": "989-600-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S FRANKLIN ST APT C",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583165",
"telephone_number": "989-600-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TREVOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502006019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
- Steven Johnson, B.S.W.
- Michael Joseph Johnston, OTR
- Amber Jones, CHW
- Darlene Kathy Jones, LMSW
- Teresa Marie Jones, MS CCC-SLP
- Valerie Sarah Jones
- Kaelyn Jonesguza
- Jose L Raygada MD PLLC (Raygada Synergistic Health Institute)
- Heather Jose, OTR
- Joseph R Yacisen DO PC (Mid Michigan Bone and Joint Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.