TRAILHEAD PHYSICAL THERAPY & SPORTS MEDICINE
NPI 1568079523
Clinic/Center - Physical Therapy in Phoenix, AZ

Active since September 24, 2020
1838 W PARKSIDE LN STE 110, PHOENIX, AZ 85027(970) 712-2938 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 16, 2020, Oct 24, 2020, Sep 24, 2020 (3 updates tracked since 2020).

About Trailhead Physical Therapy & Sports Medicine NPPES

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

TRAILHEAD PHYSICAL THERAPY & SPORTS MEDICINE (NPI 1568079523) is a healthcare organization registered as a physical therapy in Phoenix, Arizona and active in the NPI registry since September 2020. The organization lists Blaine Stimac, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1568079523
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameTRAILHEAD HEALTH & REHAB LLC
Location Address1838 W PARKSIDE LN STE 110Phoenix, AZ 85027-1370
Mailing AddressPo Box 5718Kalispell, MT 59903-5718 · (406) 756-0134 · Fax (406) 300-1612
Organization SubpartNo
Authorized OfficialBlaine StimacManaging Member · (406) 756-1128
Enumeration DateSeptember 24, 2020
Last NPPES UpdateSeptember 19, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1568079523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X
1838 W PARKSIDE LN STE 110, Phoenix, AZ 85027

Other Names 1

Doing Business AsTrailhead Physical Therapy & Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trailhead Physical Therapy & Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Trailhead Physical Therapy & Sports Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1871087718
1838 W PARKSIDE LN STE 110
Phoenix, AZ 85027
(480) 454-4698
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1104713346
1838 W PARKSIDE LN STE 110
Phoenix, AZ 85027
(480) 454-4698
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1497841167
1838 W PARKSIDE LN STE 110
Phoenix, AZ 85027
(480) 454-4698
✔ Accepts MedicareSame address

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 Trailhead Health & Rehab LLC's NPI number?

The NPI number for Trailhead Health & Rehab LLC is 1568079523. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as Trailhead Physical Therapy & Sports Medicine.

Where is Trailhead Health & Rehab LLC located?

Trailhead Health & Rehab LLC is located at 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027. The listed phone number is (970) 712-2938.

What is Trailhead Health & Rehab LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Trailhead Health & Rehab LLC enrolled in Medicare?

Yes. Trailhead Health & Rehab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trailhead Health & Rehab 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 Trailhead Health & Rehab 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, 3 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 Trailhead Health & Rehab LLC was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.