Jeffrey C Trotter, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1442 Issued in AK

Practice address

2421 E Tudor Rd
Ste 103
Anchorage, AK 99507-1128

Phone

(907) 646-9774

Fax

(907) 646-9775

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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.

• Rebound Sports and Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1407888902

  AK, Physical Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Sports and Orthopedic Physical Therapy LLC 15 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912030438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD",
            "address_2": "STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071128",
            "telephone_number": "907-646-9774",
            "fax_number": "907-646-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD",
            "address_2": "STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071128",
            "telephone_number": "907-646-9774",
            "fax_number": "907-646-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE HEALTH SYSTEMS",
            "identifier": "338041",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT1442",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berni Ann Troglio
• Cassandra Trombi
• Dale J Trombley II, MD
• Jerome Troshynski
• Adrian Peter Trotman, SLP
• Gilbert Lewis Trout III, PA-C
• Susan Elaine Troutman, CARE COORDINATOR
• David Brian Trowbridge, MD
• Jancie Trowbridge
• Michelle Eliazbeth Trowbridge, M.D.

• All providers in Anchorage, AK
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.