NPIMap

Organization Active NPI

Trek Physical Therapy

  • Physical Therapy Clinic/Center
  • McMinnville, OR
National Provider Identifier
1437818119
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TREK PHYSICAL THERAPY
Practice address
1445 NE Miller St Ste 3a
McMinnville, OR 97128-8460
Phone
(503) 770-0352
Fax
(503) 770-0352
NPI assigned
Dec 10, 2021
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Pierre ZookNPI 1568023984
Title
Owner
Phone
(503) 443-6156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

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

Mailing address

PO Box 1322
McMinnville, OR 97128-1322
Phone (503) 770-0352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211229001872 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779974720 Receives reassigned benefits from 2 practitioners
Practice locations: McMinnville, OR

National Provider Directory

National Provider Directory

Locations

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

650 NE 2nd St
McMinnville, OR 97128

650 NE 2nd St
Unit 1322
McMinnville, OR 97128

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1437818119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1322",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971281322",
            "telephone_number": "503-770-0352",
            "fax_number": "503-974-3917"
        },
        {
            "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",
            "fax_number": "503-770-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ZOOK",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-443-6156"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.