Individual provider Active NPI

Trevor Scott Michael Stoehr, DPT, CSCS

  • Physical Therapist
  • Yuba City, CA
National Provider Identifier
1770001679
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293470 Issued in CA
Practice address
851 Gray Ave
Yuba City, CA 95991-3652
Phone
(530) 671-8378
Fax
(530) 660-8451
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT293470 CA Primary

Addresses

Primary practice location

851 Gray Ave
Yuba City, CA 95991-3652

Mailing address

851 Gray Ave
Yuba City, CA 95991-3652
Phone (530) 671-8378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130002932 CA Practitioner - Physical Therapist in Private Practice 2062779945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Dusen Physical Therapy IncGroup PAC ID 3779843719, 5 clinicians

Practice addresses (Care Compare)

851 Gray Ave
Yuba City, CA 95991-3652
Phone (530) 671-8378

Merit-based Incentive Payment System (MIPS)

Final score
88.4 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
74.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293470CAMDPhysical Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770001679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913652",
            "telephone_number": "530-671-8378",
            "fax_number": "530-660-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913652",
            "telephone_number": "530-671-8378",
            "fax_number": "530-660-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEHR",
        "first_name": "TREVOR",
        "middle_name": "SCOTT MICHAEL",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.