Trevor Wayne Love, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2018026147 Issued in MO

Practice address

2211 E Claiborne St
Springfield, MO 65804-3823

Phone

(417) 569-9808

NPI assigned

Aug 31, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1992287478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 E CLAIBORNE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043823",
            "telephone_number": "417-569-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E CLAIBORNE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043823",
            "telephone_number": "417-569-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "TREVOR",
        "middle_name": "WAYNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2018026147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Loutzenhiser, M.D.
• Samuela G Louzader, CRNA
• Austin Lovan, PHARMD
• Cara Lynn Love, LPC
• Kayla Rachelle Love
• Sunshine Loveland, PLPC
• Armetta Loveless
• Sara Lovse, ATC
• Low Vision Specialists
• Erin S Lowder, PLPC

• Physical Therapy Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.