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DAVID TREVISAN MSOP, CO
NPI 1184149551
Orthotist in Jackson, MI

Active since August 07, 2017
1407 E MICHIGAN AVE, JACKSON, MI 49202(517) 784-1142 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

About David Trevisan Msop, Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID TREVISAN MSOP, CO (NPI 1184149551) is an individual orthotist provider in Jackson, Michigan and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1184149551
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameDAVID TREVISANCredential: MSOP, CO
Location Address1407 E MICHIGAN AVEJackson, MI 49202-3517
Mailing Address1407 E Michigan AveJackson, MI 49202-3517 · (517) 784-1142
Phone(517) 784-1142
Sole ProprietorNo
Enumeration DateAugust 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1184149551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
1407 E MICHIGAN AVE, Jackson, MI 49202
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Other Identifiers 1

Medicaid222Z00000XMI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSHUA PAUL AHLSTROM CPO
Orthotist
1407 E MICHIGAN AVE
JACKSON, MI 49202
Jackson County (517) 784-1142
JACKSON URGENT CARE PLLC
Clinic/Center (Urgent Care)
1407 E MICHIGAN AVE
JACKSON, MI 49202
Jackson County (313) 377-5758
SHELBY SIMMONS NP
Nurse Practitioner (Family)
1407 E MICHIGAN AVE
JACKSON, MI 49202
Jackson County (517) 888-6348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Trevisan's NPI number?

The NPI number for David Trevisan is 1184149551. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is David Trevisan located?

David Trevisan practices at 1407 E Michigan Ave, Jackson, MI 49202. The listed phone number is (517) 784-1142.

What is David Trevisan's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for David Trevisan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.