Individual provider Active NPI

Nathan Trout, MPT

  • Physical Therapy Clinic/Center
  • Durango, CO
National Provider Identifier
1679656185
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7984 Issued in CO
Practice address
575 Rivergate LN Unit 109
Durango, CO 81301-7488
Phone
(970) 403-5939
Fax
(877) 839-2679
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7984 CO
Physical Therapy Clinic/Center 261QP2000X 7984 CO Primary

Addresses

Primary practice location

575 Rivergate LN Unit 109
Durango, CO 81301-7488

Mailing address

34 Miller Dr
Durango, CO 81301-4731
Phone (970) 403-5939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000337 CO Practitioner - Physical Therapist in Private Practice 6709856990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1911 Main Ave
Suite 130
Durango, CO 81301-5079
Phone (970) 403-5939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7984COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Balance Physical Therapy LLC Physical Therapy CurrentSince Jul 20, 2005 Accepting new patients

Locations

1911 Main Ave
Ste 130
Durango, CO 81301
Phone (970) 403-5939

575 Rivergate Ln
Unit 109
Durango, CO 81301
Phone (970) 382-8292

Organizations & group practices 1

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1679656185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MILLER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014731",
            "telephone_number": "970-403-5939",
            "fax_number": "877-839-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN UNIT 109",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017488",
            "telephone_number": "970-403-5939",
            "fax_number": "877-839-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7984",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "7984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.