Active NPI
Mallory Nicole Trentman, DPT
- Physical Therapist
- Florence, KY
National Provider Identifier
1992317853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008061
- Practice address
- 7627 Ewing Blvd
Florence, KY 41042-1818 - Phone
- (937) 694-5169
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- 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 | 008061 | KY | Primary |
Addresses
Primary practice location
7627 Ewing Blvd
Florence, KY 41042-1818
Mailing address
7627 Ewing Blvd
Florence, KY 41042-1818
Phone (937) 694-5169
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008061 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Step Ahead Pediatric Therapy PLLC | 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.
-
- Multi-Specialty Clinic/Center
- Crestview Hills, KY
- NPI 1093844177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1992317853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7627 EWING BLVD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421818",
"telephone_number": "937-694-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7627 EWING BLVD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421818",
"telephone_number": "937-694-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTMAN",
"first_name": "MALLORY",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.