Organization Active NPI

Trumbo Capital Investments LLC

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1619625308
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRUMBO CAPITAL INVESTMENTS LLC
Practice address
4248 S Norfolk Ave
Tulsa, OK 74105-7607
Phone
(573) 576-7773
NPI assigned
Mar 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Authorized official

Name
Tyler Blessing Trumbo II, PT, DPTNPI 1346537594
Title
Owner
Phone
(573) 576-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4248 S Norfolk Ave
Tulsa, OK 74105-7607

Mailing address

4248 S Norfolk Ave
Tulsa, OK 74105-7607
Phone (573) 576-7773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220420000380 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305233412 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1619625308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 S NORFOLK AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057607",
            "telephone_number": "573-576-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 S NORFOLK AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057607",
            "telephone_number": "573-576-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMBO CAPITAL INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "TRUMBO",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "BLESSING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-576-7773",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.