TRIDENT PHYSICAL THERAPY, LLC
NPI 1275204943
Clinic/Center - Physical Therapy in Lawrenceville, GA
About Trident Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIDENT PHYSICAL THERAPY, LLC (NPI 1275204943) is a healthcare organization registered as a physical therapy in Lawrenceville, Georgia and active in the NPI registry since September 2021. The organization lists Kimberly Stanford, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trident Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Trident Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Trident Physical Therapy, LLC's NPI number?
The NPI number for Trident Physical Therapy, LLC is 1275204943. It was assigned to this organization in the NPPES registry on September 22, 2021.
Where is Trident Physical Therapy, LLC located?
Trident Physical Therapy, LLC is located at 248 E Crogan St Ste 5, Lawrenceville, GA 30046. The listed phone number is (770) 910-7227.
What is Trident Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Trident Physical Therapy, LLC enrolled in Medicare?
Yes. Trident Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
When is Trident Physical Therapy, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Trident Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Trident Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Trident Physical Therapy, LLC was last updated on July 14, 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.
# Trident Physical Therapy, Llc · NPI 1275204943
Physical Therapy organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since September 22, 2021.
## Identity
- **NPI:** 1275204943 (Entity type: Organization)
- **Enumerated:** September 22, 2021
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Stanford, OWNER
## Practice location
- **Address:** 248 E CROGAN ST STE 5, Lawrenceville, GA 30046-5069
- **Phone:** (770) 910-7227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1275204943) · Data from the CMS NPPES public registry.