Trevor Benjamin Lowe, PTA
Individual provider Active NPI Physical Therapy Assistant · Ellsworth, KS
NPI 1609472000 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1609472000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-03544 (KS)
- Practice address
- 1156 K-14
Ellsworth, KS 67439 - Phone
- (785) 472-3167
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-03544 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-03544 | KS | Yes |
Addresses
Primary practice location
1156 K-14
Ellsworth, KS 67439
Mailing address
2304 Heizer St
Great Bend, KS 67530-2635
Phone (785) 302-0111
Other providers in Ellsworth, KS
- Savannah Dawn Kelley
- Dennis Joseph Kepka
- Kyle Gwinner OD LLC
- Ryan T Lahey
- Emily S Lindsley
- Kourtney Maisog
- Mark a.Herzog
- Joseph Duane McBeain
- Shawn Aaron McGowan
- Mosaic
All providers in Ellsworth, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.