Trevor L Roppel

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11758 Issued in MN

Practice address

1728 N Front St
Crookston, MN 56716-1020

Phone

(218) 470-0132

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Molly E HansonGroup PAC ID 9931508306, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Molly E Hanson

  • Physical Therapist
  • Crookston, MN
  • NPI 1841884335

  MN, Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1386280295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 N FRONT ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161020",
            "telephone_number": "218-470-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 N FRONT ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161020",
            "telephone_number": "218-470-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3835 Supreme Ct NW Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566014485",
            "country_code": "US",
            "telephone_number": "218-444-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROPPEL",
        "first_name": "TREVOR",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Elizabeth Rodriguez, LICSW
• Angel May Roed
• Eric B Roed, CRNA
• Mitchell J Roggenbuck, LADC
• Robert Dale Roppel
• Lauren Rose, DO
• Natalie Rebecca Royal, FNP-C
• Daniel Jerone Rud, D.C.
• Sarah Joy Rudnik, FNP-C
• Rhonda June Salentiny, PT

• All providers in Crookston, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.