Trevor Fennell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00907400 Issued in NJ

Practice address

127 Union St
Suite 105
Ridgewood, NJ 07450-4478

Phone

(201) 444-4447

Fax

(201) 444-5101

NPI assigned

Jun 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Trevor Fennell Physical Therapy Corp

  • Physical Therapist
  • Ho Ho Kus, NJ
  • NPI 1598386096
  Medicare reassignment NPD Authorized official
• Baby Steps Physical Therapy, LLC

  • Physical Therapist
  • Ho Ho Kus, NJ
  • NPI 1528213402
  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619904125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 UNION ST",
            "address_2": "SUITE 105",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-4447",
            "fax_number": "201-444-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNION ST",
            "address_2": "SUITE 105",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504478",
            "telephone_number": "201-444-4447",
            "fax_number": "201-444-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00907400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Fava, LPC
• Lolita Feld, PA-C
• Howard Eric Felderman, MD
• Nancy Ellen Feldman, MA, RD
• Bruce Wayne Felsenstein, MD
• Kirsten Claire Fernandez
• Frank James Ferraro Jr., M.D.
• Marie Angelie Ferrer, PHYSICAL THERAPIST
• Danielle Ferrigno, LAC
• Julia Feuer, RN, FNP, PMHNP

• Physical Therapist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.