Individual provider Active NPI

Trevor Blake Strem, PT, DPT

  • Physical Therapist
  • McMinnville, OR
National Provider Identifier
1346082419
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65180 Issued in OR
Practice address
1445 NE Miller St Ste 3a
McMinnville, OR 97128-8460
Phone
(503) 770-0352
NPI assigned
Jun 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 65180 OR Primary

Addresses

Primary practice location

1445 NE Miller St Ste 3a
McMinnville, OR 97128-8460

Mailing address

650 NE 2ND St Unit 1322
McMinnville, OR 97128-4746
Phone (503) 770-0352

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

LicenseStateTypeSpecialty
65180ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trek Physical Therapy Physical Therapist CurrentSince Jun 16, 2024 Accepting new patients

Locations

1445 NE Miller St
Ste 3A
McMinnville, OR 97128
Phone (503) 770-0352

650 NE 2nd St
Unit 1322
McMinnville, OR 97128

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1346082419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NE 2ND ST UNIT 1322",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284746",
            "telephone_number": "503-770-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NE MILLER ST STE 3A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288460",
            "telephone_number": "503-770-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREM",
        "first_name": "TREVOR",
        "middle_name": "BLAKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.