Gerardo Trejo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2021903 Issued in TX

Practice address

1605 E del Mar Blvd
Suite 14
Laredo, TX 78041-6517

Phone

(361) 986-0708

Fax

(361) 986-0708

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Gerardo Trejo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Innovative Physical Therapy

  • Physical Therapist
  • Laredo, TX
  • NPI 1225048887
  NPD (past)
• RGV Nueces Rehabilitation Inc.

  • Sports Physical Therapist
  • Laredo, TX
  • NPI 1619045234
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730246760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E DEL MAR BLVD",
            "address_2": "SUITE 14",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416517",
            "telephone_number": "361-986-0708",
            "fax_number": "361-986-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E DEL MAR BLVD",
            "address_2": "SUITE 14",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416517",
            "telephone_number": "361-986-0708",
            "fax_number": "361-986-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "GERARDO",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2021903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA",
            "identifier": "2021903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERARDO",
            "last_name": "TREJO",
            "prefix": "MR.",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Quang Tran, PHARMD
• Paul Tran, OD., PC
• Thu Tran, MD
• Trans/Txsa
• Travel Center Clinics
• Alonso Trevino IV, MD
• Ariana Trevino Trevino, M.S., LPC-ASSOCIATE
• Bertha Cristina Trevino, LPC
• Beth A. Trevino, MD
• Carlos Servando Trevino, RLD

• Physical Therapy Assistant in Laredo, TX
• Providers in Laredo, TX by specialty
• Physical Therapy Assistant in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.