Active NPI
Erin Taylor Trumbach, DPT
- Pediatric Physical Therapist
- Paulina, LA
National Provider Identifier
1437877784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 11250
- Practice address
- 2455 N Nobile St
Paulina, LA 70763-2528 - Phone
- (504) 343-1292
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11250 | LA | |
| Pediatric Physical Therapist | 2251P0200X | 11250 | LA | Primary |
Addresses
Primary practice location
2455 N Nobile St
Paulina, LA 70763-2528
Mailing address
3017 Cypress View LN
Baton Rouge, LA 70810-0445
Phone (985) 201-4012
Other practice location 1
12110 S Harrells Ferry Rd Ste 200
Baton Rouge, LA 70816-2426
Phone (225) 372-5008
Other practice location 2
19089 Florida Blvd
Albany, LA 70711-3603
Phone (225) 209-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230210000464 | LA | Practitioner - Physical Therapist in Private Practice | 7214309756 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Therapy, LLC | Pediatrics | Current | Accepting new patients |
Locations
19089 Florida Blvd
Albany, LA 70711
Phone (225) 209-7140
54033 Highway 1062
#B
Loranger, LA 70446
Phone (225) 209-7140
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": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1437877784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 CYPRESS VIEW LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100445",
"telephone_number": "985-201-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 N NOBILE ST",
"city": "PAULINA",
"state": "LA",
"postal_code": "707632528",
"telephone_number": "504-343-1292"
}
],
"practiceLocations": [
{
"address_1": "12110 S Harrells Ferry Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708162426",
"country_code": "US",
"telephone_number": "225-372-5008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19089 Florida Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "LA",
"postal_code": "707113603",
"country_code": "US",
"telephone_number": "225-209-7140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUMBACH",
"first_name": "ERIN",
"middle_name": "TAYLOR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "LA",
"license": "11250",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "LA",
"license": "11250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paulina, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.