Active NPI
Ashley Benz Trino, PT
- Physical Therapist
- Fontana, CA
National Provider Identifier
1790088094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36417
- Practice address
- 9161 Sierra Ave
Suite 211
Fontana, CA 92335-4729 - Phone
- (909) 428-6882
- NPI assigned
- Dec 9, 2010
- Sex
- Female
- Sole proprietor
- No
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 | PT36417 | CA | Primary |
Addresses
Primary practice location
9161 Sierra Ave
Suite 211
Fontana, CA 92335-4729
Mailing address
9161 Sierra Ave
Suite 211
Fontana, CA 92335-4729
Phone (909) 428-6882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36417 | CA | MD | Clinical Social Worker |
| PT36417 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anza Wellness & Recovery Services, PLLC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1790088094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9161 SIERRA AVE",
"address_2": "SUITE 211",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354729",
"telephone_number": "909-428-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9161 SIERRA AVE",
"address_2": "SUITE 211",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354729",
"telephone_number": "909-428-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINO",
"first_name": "ASHLEY",
"middle_name": "BENZ",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-09",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT36417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.