Individual provider Active NPI

Heidi McGovern Trivelpiece, MSPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1821230400
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25375 Issued in CA
Practice address
8996 Miramar Rd Ste 315
San Diego, CA 92126-4463
Phone
(619) 818-6873
NPI assigned
Mar 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 25375 CA Primary

Addresses

Primary practice location

8996 Miramar Rd Ste 315
San Diego, CA 92126-4463

Mailing address

8996 Miramar Rd Ste 315
San Diego, CA 92126-4463
Phone (858) 722-6496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604000018 CA Practitioner - Physical Therapist in Private Practice 7810218724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physical Therapy IncGroup PAC ID 3870987985, 5 clinicians

Practice addresses (Care Compare)

2751 Roosevelt Rd
Suite 203
San Diego, CA 92106-6180
Phone (619) 333-9182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physical Therapy Inc. Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

2650 Truxtun Rd
Ste 202
San Diego, CA 92106

2751 Roosevelt Rd
Ste 203
San Diego, CA 92106
Phone (619) 501-9755

8996 Miramar Rd
Ste 315
San Diego, CA 92126
Phone (619) 818-6873

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": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1821230400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8996 MIRAMAR RD STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264463",
            "telephone_number": "858-722-6496",
            "fax_number": "619-374-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 MIRAMAR RD STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264463",
            "telephone_number": "619-818-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVELPIECE",
        "first_name": "HEIDI",
        "middle_name": "MCGOVERN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-29",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.