Active NPI
Trevor Lee Shaffer, PT
- Orthopedic Physical Therapist
- Seven Fields, PA
National Provider Identifier
1417726910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT031925
- Practice address
- 203 High Pointe Dr
#100
Seven Fields, PA 16046 - Phone
- (724) 742-1250
- NPI assigned
- Dec 26, 2023
- Last updated
- Dec 26, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT031925 | PA | Primary |
Addresses
Primary practice location
203 High Pointe Dr
#100
Seven Fields, PA 16046
Mailing address
604 W 5TH St
Erie, PA 16507-1125
Phone (724) 996-1472
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 |
|---|---|---|---|
| PT031925 | PA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1417726910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 W 5TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071125",
"telephone_number": "724-996-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 HIGH POINTE DR",
"address_2": "#100",
"city": "SEVEN FIELDS",
"state": "PA",
"postal_code": "16046",
"telephone_number": "724-742-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "TREVOR",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT031925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seven Fields, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.