TRINITY ANDERSON DPT
NPI 1407649551
Physical Therapist in Chubbuck, ID
About Trinity Anderson Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRINITY ANDERSON DPT (NPI 1407649551) is an individual physical therapist in Chubbuck, Idaho, licensed in Idaho (4171962) and active in the NPI registry since May 2025.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trinity Anderson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Trinity Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chubbuck, ID 83202
- Reassigned Medicare billing, Idaho enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHUBBUCK, ID 83202
CHUBBUCK, ID 83202
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 Trinity Anderson's NPI number?
The NPI number for Trinity Anderson is 1407649551. It was assigned to this individual provider in the NPPES registry on May 22, 2025.
Where is Trinity Anderson located?
Trinity Anderson practices at 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202. The listed phone number is (208) 237-1882.
What is Trinity Anderson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Trinity Anderson enrolled in Medicare?
Yes. Trinity Anderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Trinity Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Trinity Anderson reassigns Medicare benefits to Flicker Physical Therapy LLC (Chubbuck, ID). The 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 Trinity Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Trinity Anderson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.