Peter James Trujillo Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2015039543 Issued in MO

Practice address

106 W 3Rd St
Kearney, MO 64060-8648

Phone

(816) 786-0809

NPI assigned

Jul 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Health and Performance 2 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.

• True Health and Performance

  • Physical Therapist
  • Kearney, MO
  • NPI 1861086167

  MO, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Fox Rehabilitation Services PT Mo LLC

  • Physical Therapist
  • Saint Charles, MO
  • NPI 1750906095

  MO, Physical Therapist

  Medicare reassignment NPD
• Evergreen Health and Wellness, LLC

  • Registered Dietitian
  • Kearney, MO
  • NPI 1982383048
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1477077527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013906",
            "telephone_number": "541-762-1755",
            "fax_number": "541-638-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W 3RD ST",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608648",
            "telephone_number": "816-786-0809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Charnelton St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013906",
            "country_code": "US",
            "telephone_number": "541-762-1755",
            "fax_number": "541-762-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61825",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015039543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.trueperformancekc.com/contact",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "True Health and Performance",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "106 W 3rd St",
            "city": "Kearney",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640608648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Terwilleger Therapy Team
• The Pelvic Place KC LLC
• Robert D Thomas, MD
• Matthew Alan Tobler, DMD
• True Health and Performance
• Dakota Ryan Watson, PT, DPT
• Sallie Mae West X, LCSW
• Westbrook Care Center, Inc.
• Megan N Westman, DPT
• Patricia Whitsell, FNP-C

• All providers in Kearney, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.