Individual provider Active NPI

Neorlan Trujillo, PT, DPT, OCS

  • Physical Therapist
  • Hickory, NC
National Provider Identifier
1902088628
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11375 Issued in NC
Practice address
231 Government Ave SW Unit 2828
Hickory, NC 28603
Phone
(828) 781-0217
NPI assigned
Dec 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 11375 NC Primary

Addresses

Primary practice location

231 Government Ave SW Unit 2828
Hickory, NC 28603

Mailing address

231 Government Ave SW Unit 2828
Hickory, NC 28603-5514
Phone (828) 781-0217

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

LicenseStateTypeSpecialty
11375NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Jul 8, 2013 Accepting new patients
Frontline Orthopedic Physical Therapy Physical Therapist PastSince Mar 16, 2021 Accepting new patients

Locations

233 Bell Fork Rd
#E
Jacksonville, NC 28540
Phone (910) 238-2259

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1902088628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GOVERNMENT AVE SW UNIT 2828",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286035514",
            "telephone_number": "828-781-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GOVERNMENT AVE SW UNIT 2828",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28603",
            "telephone_number": "828-781-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "NEORLAN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.