TRUMBLE PHYSICAL THERAPY, PLLC (NPI# 1508255761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508255761 |
| Entity Type | Organization |
| Organization Name | TRUMBLE PHYSICAL THERAPY, PLLC |
| Practice Address |
840 Hanshaw Rd Ithaca NY 14850-1589 |
| Practice Telephone | 6072734972 |
| Practice Fax Number | 6072734972 |
| Mailing Telephone | 6072734972 |
| Mailing Fax Number | 6072734972 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | MRS. CHRISTINE TRUMBLE (OWNER) |
| Authorized Official Telephone | 6072734972 |
| Authorized Official Credential | PT, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
013783 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI - INDIVIDUAL | 1407926199 | 01 |
| NY | MEDICARE ID TYPE UNSPECIFIED | DD0745 | 01 |
| NY | 02309662 | 05 |
| Street Address |
840 HANSHAW RD |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700864881 | Rizwan Khan | Allergy & Immunology | 840 Hanshaw Rd, Ithaca, NY 14850 | 2006-01-09 |
| 1548727944 | Ching-yi Wu | Nurse Practitioner | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2019-02-22 |
| 1578077863 | Cinda Joan Gibbs Kerbein | Physician Assistant | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2017-11-22 |
| 1396255295 | Claire Agrawal | Physical Therapist | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2017-10-05 |
| 1013306778 | Corey B. Dresen | Physical Therapist | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2015-01-20 |
| 1477957926 | Agnieszka Danielewicz | Physician Assistant | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2014-10-13 |
| 1154670149 | Dawn L Paulsen | Nurse Practitioner | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2012-09-05 |
| 1003189697 | Jillian Erickson | Physical Therapist | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2012-02-14 |
| 1063503191 | Asthma & Allergy Associates P.C. | Allergy & Immunology | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2006-09-27 |
| 1467552562 | Stephen Eric Ungberg | Dentist | 840 Hanshaw Rd, Ithaca, NY 14850-1589 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215363908 | Daniel Kraak Physical Therapy Pllc | Clinic/Center | 301 W State St., Ithaca, NY 14850 | 2013-09-25 |
| 1992810782 | Molino Physical Therapy, Pllc | Clinic/Center | 2415 North Triphammer Rd, Ithaca, NY 14850 | 2006-08-20 |
| 1134347230 | Kendal At Ithaca | Clinic/Center | 2230 N Triphammer Rd, Ithaca, NY 14850-6513 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639842 | Lion Physical Therapy Pllc | Clinic/Center | 2420 Jackson Ave Ste 205, Long Island City, NY 11101-4332 | 2020-11-02 |
| 1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
| 1174122808 | The Body Workshop Physical Therapy Pllc | Clinic/Center | 70 Balsam Way, Clifton Park, NY 12065-6787 | 2020-10-23 |
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1730786369 | Palisades Lymphedema & Oncology Physiotherapy, Rllp | Clinic/Center | 7 New Lake Rd, Valley Cottage, NY 10989-1868 | 2020-10-06 |
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1720695430 | John Bianchini Pt PC | Clinic/Center | 11 N Nancy Pl, Massapequa, NY 11758-1912 | 2020-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.