Active NPI
Trumble Physical Therapy, PLLC
- Physical Therapy Clinic/Center
- Ithaca, NY
National Provider Identifier
1508255761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 013783
- Legal business name
- TRUMBLE PHYSICAL THERAPY, PLLC
- Practice address
- 840 Hanshaw Rd
Ithaca, NY 14850-1589 - Phone
- (607) 273-4972
- Fax
- (607) 273-4972
- NPI assigned
- Jan 12, 2015
- Last updated
- Jan 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christine Trumble, PT, OCS
- Title
- Owner
- Phone
- (607) 273-4972
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 013783 | NY | Primary |
Addresses
Primary practice location
840 Hanshaw Rd
Ithaca, NY 14850-1589
Mailing address
840 Hanshaw Rd
Ithaca, NY 14850-1589
Phone (607) 273-4972
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD0745 | Other | NY | MEDICARE ID TYPE UNSPECIFIED |
| 02309662 | Medicaid | NY | |
| 1407926199 | Other | NY | NPI - INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
840 Hanshaw Rd
Ste 13
Ithaca, NY 14850
Phone (607) 257-0567
1901 Vestal Pkwy E
Ste 1
Vestal, NY 13850
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.
-
- Physical Therapist
- Ithaca, NY
- NPI 1407926199
-
- Physical Therapist
- Ithaca, NY
- NPI 1013306778
-
- Physical Therapist
- Ithaca, NY
- NPI 1912593948
-
- Physical Therapist
- Ithaca, NY
- NPI 1003189697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1508255761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 HANSHAW RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501589",
"telephone_number": "607-273-4972",
"fax_number": "607-273-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 HANSHAW RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501589",
"telephone_number": "607-273-4972",
"fax_number": "607-273-4972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUMBLE PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "TRUMBLE",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "607-273-4972",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT, OCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "013783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "DD0745",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02309662",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - INDIVIDUAL",
"identifier": "1407926199",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.