Active NPI
Grant Trembly, DPT
- Physical Therapist
- Derby, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 608 N Mulberry Rd
Derby, KS 67037-3532 - Phone
- (316) 202-0996
- Fax
- (316) 202-0997
- NPI assigned
- Sep 30, 2014
- Last updated
- May 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18470 | NC | |
| Physical Therapist | 225100000X | KS | Primary |
Addresses
Primary practice location
608 N Mulberry Rd
Derby, KS 67037-3532
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other practice location 1
401 Attain St Ste 121
Fuquay Varina, NC 27526-2702
Phone (919) 557-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1909 N 14TH Ave
Suite C PT Works
Dodge City, KS 67801-2365
Phone (620) 338-8633
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 61.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18470 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy and Sports Performance, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced PT, LLC | Past | Accepting new patients |
Locations
1909 N 14th Ave
Ste C
Dodge City, KS 67801
Phone (620) 338-8633
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba P.T. Works
- Physical Therapist
- Dodge City, KS
- NPI 1679280267
-
dba Advanced PT Northeast
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1043805492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1902209364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023017",
"telephone_number": "316-263-0003",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 N MULBERRY RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373532",
"telephone_number": "316-202-0996",
"fax_number": "316-202-0997"
}
],
"practiceLocations": [
{
"address_1": "401 Attain St Ste 121",
"address_purpose": "LOCATION",
"city": "Fuquay Varina",
"state": "NC",
"postal_code": "275262702",
"country_code": "US",
"telephone_number": "919-557-3017",
"fax_number": "919-557-3748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREMBLY",
"first_name": "GRANT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "18470",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.