Individual provider Active NPI

Trevor Thomson

  • Physical Therapist
  • Dumfries, VA
National Provider Identifier
1568027381
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4214 Fortuna Center PLZ
Dumfries, VA 22025-1515
Phone
(571) 402-2098
NPI assigned
May 7, 2019
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4214 Fortuna Center PLZ
Dumfries, VA 22025-1515

Mailing address

10341 Jason Rd
North Chesterfield, VA 23235-2627
Phone (804) 617-8357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190701000456 VA Practitioner - Physical Therapist in Private Practice 7911231600 Reassigns benefits to 3 organizations
I20221020003397 DC Practitioner - Physical Therapist in Private Practice 7911231600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
PT JointGroup PAC ID 9638563646, 2 clinicians

Practice addresses (Care Compare)

205 Hirst Rd
Suite 201
Purcellville, VA 20132-6600
Phone (681) 252-4685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Joint Physical Therapist CurrentSince Mar 6, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

4214 Fortuna Center Plz
Montclair, VA 22025
Phone (571) 402-2028

205 Hirst Rd
Ste 201
Purcellville, VA 20132
Phone (540) 751-4455

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

73 Edmond Rd
Ste 2
Kearneysville, WV 25430
Phone (304) 774-4467

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1568027381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10341 JASON RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232352627",
            "telephone_number": "804-617-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 FORTUNA CENTER PLZ",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251515",
            "telephone_number": "571-402-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.