Trent M Ezzell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9752 Issued in CO

Practice address

718 N Main St
Unit # 18
Gunnison, CO 81230-2412

Phone

(970) 641-3298

Fax

(970) 641-7369

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Heights Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Gunnison, CO
  • NPI 1225392871

  CO, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Heights Physical Therapy LLC

  • Physical Therapist
  • Lake City, CO
  • NPI 1033872973
  NPD
• Cleburne Physical Therapy & Sports Rehabilitation, Inc.

  • Physical Therapist
  • Cleburne, TX
  • NPI 1205800802
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heights Physical Therapy LLC 10 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1508072885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N MAIN ST",
            "address_2": "UNIT # 18",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302412",
            "telephone_number": "970-641-3298",
            "fax_number": "970-641-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MAIN ST",
            "address_2": "UNIT # 18",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302412",
            "telephone_number": "970-641-3298",
            "fax_number": "970-641-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZELL",
        "first_name": "TRENT",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Elzay
• Emily Parsons LLC
• Alonso Escalante, MD
• Matthew Robert Estrada, LPC
• Kaylynne B. Ezzell, M.P.T.
• Family Vision Center, LLC
• Carla Fanciullo, OTR/L
• Lara Fellows
• Emily Ferrell, FNP
• James E Field, M.D.

• All providers in Gunnison, CO
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.