Trevor John Edgerton

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

05015100A Issued in IN

Practice address

70 Brendon Way
Zionsville, IN 46077-1945

Phone

(317) 733-2800

NPI assigned

May 24, 2023

Last updated

May 24, 2023By the provider in NPPES

Sex

Male

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body One Health and Fitness Center LLCGroup PAC ID 5395715007, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Body One Health and Fitness Center, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1528092442

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1780376962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 DUBONNET CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781541",
            "telephone_number": "708-990-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BRENDON WAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771945",
            "telephone_number": "317-733-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "TREVOR",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05015100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Duhn, M.A., EDS, NCSP, IPE
• Christopher J Dull, MD, JD
• Michelle Marie Duncan, NP
• Sakthivelavan Duraipandian Sendiladibban
• Ashlee Rachelle Edgerton, LMHC, NCC
• Shelby Edington, PT, DPT
• Elizabeth R Edwards, M.A., CCC-SLP
• Jama Gail Edwards, M.D.
• Ann Marie Eessalu, PT
• Holly Marie Ellis, DO

• Orthopedic Physical Therapist in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Orthopedic Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.