Shaun Brian Trumbower, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1000361 Issued in PA

Practice address

128 Broadway Rd
Sweet Valley, PA 18656-2326

Phone

(570) 256-4487

NPI assigned

Sep 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cip Rehabilitation Inc

  • Occupational Therapist
  • Dallas, PA
  • NPI 1669963039
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1508190513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BROADWAY RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562326",
            "telephone_number": "570-256-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BROADWAY RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562326",
            "telephone_number": "570-256-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMBOWER",
        "first_name": "SHAUN",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1000361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Maccarone, OTR/L
• Jennifer Rebekah Purdy
• Anthony Sayre Jr., CAPS
• Sweet Valley Ambulance Association, Inc
• The Graniteville House of Recovery

• Physical Therapy Assistant in Sweet Valley, PA
• Providers in Sweet Valley, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.