Individual provider Active NPI

Tasha Nicole Trunnell, PT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1356774905
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24539 Issued in MD
Practice address
2327 Forest Dr Ste D
Annapolis, MD 21401-3865
Phone
(443) 782-7243
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 24539 MD Primary

Addresses

Primary practice location

2327 Forest Dr Ste D
Annapolis, MD 21401-3865

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

900 Riggins Rd
Apt 533
Tallahassee, FL 32308-2211
Phone (850) 339-1286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190823003178 DC Practitioner - Physical Therapist in Private Practice 2163750456 Reassigns benefits to 2 organizations
I20211007000209 MD Practitioner - Physical Therapist in Private Practice 2163750456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

13735 Connecticut Ave
Suite 6
Silver Spring, MD 20906-2916
Phone (240) 283-9559

2327 Forest Dr
Suite D
Annapolis, MD 21401-3865
Phone (443) 782-7243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24539MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Sports Physical Therapy of Towson, P.a. Physical Therapist PastSince Oct 1, 1994 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2327 Forest Dr
Ste D
Annapolis, MD 21401
Phone (443) 782-7243

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

13735 Connecticut Ave
Ste 6
Silver Spring, MD 20906
Phone (240) 283-9559

7801 York Rd
Ste 236
Towson, MD 21204
Phone (410) 583-0333

Organizations & group practices 5

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1356774905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 FOREST DR STE D",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013865",
            "telephone_number": "443-782-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Riggins Rd",
            "address_2": "APT 533",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323082211",
            "country_code": "US",
            "telephone_number": "850-339-1286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUNNELL",
        "first_name": "TASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.