Active NPI
William Brett Trujillo
- Physical Therapist
- Goodyear, AZ
National Provider Identifier
1922556182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10218PT
- Practice address
- 500 N Bullard Ave
C27
Goodyear, AZ 85338-2533 - Phone
- (623) 986-5110
- NPI assigned
- Sep 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10218PT | AZ | Primary |
Addresses
Primary practice location
500 N Bullard Ave
C27
Goodyear, AZ 85338-2533
Mailing address
500 N Bullard Ave
C27
Goodyear, AZ 85338-2533
Phone (623) 986-5110
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 |
|---|---|---|---|
| 10218PT | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleutheria, LLC | Physical Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1922556182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N BULLARD AVE",
"address_2": "C27",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853382533",
"telephone_number": "623-986-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N BULLARD AVE",
"address_2": "C27",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853382533",
"telephone_number": "623-986-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "WILLIAM",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10218PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.