Lissa A Trevino, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21353 Issued in CA

Practice address

901 Calle Amanecer
Ste 320
San Clemente, CA 92673-6278

Phone

(949) 366-6785

Fax

(949) 366-6470

NPI assigned

Nov 2, 2006

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocean Physical Therapy IncGroup PAC ID 5890782734, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

18.4 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

61.33

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ocean Physical Therapy, Inc.

  • Physical Therapist
  • San Clemente, CA
  • NPI 1396895512
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1669551750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CALLE AMANECER STE 320",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926734222",
            "telephone_number": "949-366-6785",
            "fax_number": "949-366-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CALLE AMANECER",
            "address_2": "STE 320",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736278",
            "telephone_number": "949-366-6785",
            "fax_number": "949-366-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhu Quynh Tran, D.D.S.
• Trinh T Tran
• Tranquil Conceptions Psychiatry, Emily Lippincott Pmhnp, a Nursing Professional Corporation
• Treasures of Our Culture, Inc.
• Trestles Chiropractic an Anderson Corporation
• Sabrina Trinh, PA-C
• Ronald Winston Trosper, DDS
• Simon Pedro Trujillo, IDC
• Angela Ryan Tumbrello, PTA
• Herbert David Turner, IAYT

• Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.