Active NPI
Trevor Ryan Stutz, PT, DPT
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1710242227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9870
- Practice address
- 5111 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-7076 - Phone
- (480) 990-1379
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9870 | AZ | Primary |
Addresses
Primary practice location
5111 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-7076
Mailing address
92 West Ave
Brockport, NY 14420-1306
Phone (585) 637-0790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 White Spruce Blvd
Rochester, NY 14623-1613
Phone (585) 427-7190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9870 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services of Rochester PC | Physical Therapist | Current | Accepting new patients |
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | Accepting new patients |
Locations
540 White Spruce Blvd
Rochester, NY 14623
Phone (585) 427-7190
Organizations & group practices 2
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.
-
- Physical Therapist
- Rochester, NY
- NPI 1467451328
-
- Rehabilitation Hospital
- Florence, SC
- NPI 1598738296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1710242227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 WEST AVE",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144201306",
"telephone_number": "585-637-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 N SCOTTSDALE RD STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852507076",
"telephone_number": "480-990-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZ",
"first_name": "TREVOR",
"middle_name": "RYAN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.