Individual provider Active NPI

Dominique Robert Trolliet, MSPT

  • Physical Therapist
  • Kerrville, TX
National Provider Identifier
1598741845
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1164013 Issued in TX
Practice address
1740 Junction Hwy
Kerrville, TX 78028-9401
Phone
(830) 257-3800
Fax
(830) 257-3802
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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 1164013 TX Primary

Addresses

Primary practice location

1740 Junction Hwy
Kerrville, TX 78028-9401

Mailing address

407 Sierra Rd
Kerrville, TX 78028-7156
Phone (830) 367-1251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy of Southwest Florida, Inc. Physical Therapist PastSince Sep 30, 2005 Accepting new patients
Foundation Health Physical Therapy Physical Therapist Past Accepting new patients
Concepts in Rehab Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1598741845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SIERRA RD",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780287156",
            "telephone_number": "830-367-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289401",
            "telephone_number": "830-257-3800",
            "fax_number": "830-257-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROLLIET",
        "first_name": "DOMINIQUE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1164013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.