Individual provider Active NPI

Trent Robert McGary, D.P.T.

  • Physical Therapist
  • Rigby, ID
National Provider Identifier
1962672816
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2225 Issued in ID
Practice address
3854 E 300 N
Box 12
Rigby, ID 83442-5422
Phone
(208) 709-2645
Fax
(208) 524-1701
NPI assigned
Mar 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

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 PT-2225 ID Primary

Addresses

Primary practice location

3854 E 300 N
Box 12
Rigby, ID 83442-5422

Mailing address

3854 E 300 N
Box 12
Rigby, ID 83442-5422
Phone (208) 709-2645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130503000192 ID Practitioner - Physical Therapist in Private Practice 6204073794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rigby PT PLLCGroup PAC ID 3678095510, 4 clinicians
Rigby Physical Therapy PLLCGroup PAC ID 5395982888, 2 clinicians

Practice addresses (Care Compare)

711 Rigby Lake Dr
Suite 1301
Rigby, ID 83442-5373
Phone (208) 228-0311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2225IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rigby Physical Therapy, PLLC Physical Therapist CurrentSince Mar 12, 2013 Accepting new patients
Rigby PT, PLLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

711 Rigby Lake Dr
Ste 1301
Rigby, ID 83442
Phone (208) 228-0311

3854 E 300 N
#12
Rigby, ID 83442
Phone (208) 709-2645

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1962672816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 E 300 N",
            "address_2": "BOX 12",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425422",
            "telephone_number": "208-709-2645",
            "fax_number": "208-524-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 E 300 N",
            "address_2": "BOX 12",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425422",
            "telephone_number": "208-709-2645",
            "fax_number": "208-524-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARY",
        "first_name": "TRENT",
        "middle_name": "ROBERT",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.