Individual provider Active NPI

Trevor Lewis Novobielski, PT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1568196434
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61288100 Issued in WA
Practice address
2710 E 57TH Ave
Spokane, WA 99223-6678
Phone
(509) 252-2354
Fax
(509) 252-2357
NPI assigned
Jul 14, 2022
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 PT61288100 WA Primary

Addresses

Primary practice location

2710 E 57TH Ave
Spokane, WA 99223-6678

Mailing address

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930000546 WA Practitioner - Physical Therapist in Private Practice 6002292943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Jan 24, 2024 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Jan 24, 2024 Accepting new patients

Locations

2710 E 57th Ave
Spokane, WA 99223
Phone (509) 252-2354

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

Interoperability endpoints

  • Direct secure messaging: trevor.novobielski.1@16598.direct.athenahealth.com

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1568196434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236678",
            "telephone_number": "509-252-2354",
            "fax_number": "509-252-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236678",
            "telephone_number": "509-252-2354",
            "fax_number": "509-252-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOBIELSKI",
        "first_name": "TREVOR",
        "middle_name": "LEWIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61288100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.