Tom Kenneth Trumbull IV, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

950 Taylor Ave Ste 180
Grand Haven, MI 49417-2282

Phone

(616) 200-4428

Fax

(616) 200-4436

NPI assigned

Oct 19, 2009

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trumbull & Associates Physical Therapy & Spine PLLC

  dba Resolve Grand Haven Physical Therapy

  • Physical Therapy Clinic/Center
  • Grand Haven, MI
  • NPI 1104352087

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1528394079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 180",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172281",
            "telephone_number": "616-200-4428",
            "fax_number": "616-200-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 180",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172282",
            "telephone_number": "616-200-4428",
            "fax_number": "616-200-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMBULL",
        "first_name": "TOM",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014850",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Continuing Care Services (Sanctuary at the Shore)
• Trinity Health Grand Haven Hospital
• Trinity Health Grand Haven Hospital
• Trinity Health Specialty Hospital - Grand Haven
• Trumbull & Associates Physical Therapy & Spine PLLC (Resolve Grand Haven Physical Therapy)
• Turning Pointe Therapies
• Jennifer Tuuk
• Jane Ubben, MSPT
• Amy Elizabeth Uber-Haag, RN.BSN,TNCC,ENPC,ACL
• Mary Mildred Van Bonn, MA, LLPC

• Physical Therapist in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.