Individual provider Active NPI

Angel Elizabeth Trail, PT

  • Physical Therapist
  • Weaverville, NC
National Provider Identifier
1619165933
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11348 Issued in NC
Practice address
7 Garrison Road
Weaverville, NC 28787-9215
Phone
(828) 675-6875
Fax
(828) 658-5040
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 11348 NC Primary

Addresses

Primary practice location

7 Garrison Road
Weaverville, NC 28787-9215

Mailing address

7 Garrison Road
Weaverville, NC 28787-9215
Phone (828) 675-6875

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000507 NC Practitioner - Physical Therapist in Private Practice 5294871976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weaverville Physical Therapy and WellnessGroup PAC ID 5496188658, 6 clinicians

Practice addresses (Care Compare)

3 Garrison Rd
Suite 101
Weaverville, NC 28787-9215
Phone (828) 675-6875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11348NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weaverville Physical Therapy and Wellness Physical Therapist CurrentSince Oct 8, 2019 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Feb 21, 2017 Accepting new patients
Southeastern Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

90 Southside Ave
Ste 225
Asheville, NC 28801
Phone (828) 254-3525

68 Crossroad Hill Rd
Canton, NC 28716
Phone (828) 492-0592

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

3 Garrison Rd
#101
Weaverville, NC 28787
Phone (828) 675-6875

7 Garrison Rd
Weaverville, NC 28787
Phone (828) 675-6875

108 Monticello Rd
Ste 1890
Weaverville, NC 28787
Phone (828) 675-6875

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1619165933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GARRISON ROAD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879215",
            "telephone_number": "828-675-6875",
            "fax_number": "828-658-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GARRISON ROAD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879215",
            "telephone_number": "828-675-6875",
            "fax_number": "828-658-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAIL",
        "first_name": "ANGEL",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.