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TRIFECTA THERAPEUTICS, LLC
NPI 1841701141
Physical Therapist - Sports in Glassboro, NJ

Active since October 13, 2017
107 ROWAN BLVD, GLASSBORO, NJ 08028(856) 347-0333(856) 230-7164 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 15, 2021, Mar 17, 2018, Oct 13, 2017 (3 updates tracked since 2017).

About Trifecta Therapeutics, Llc NPPES

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

TRIFECTA THERAPEUTICS, LLC (NPI 1841701141) is a healthcare organization registered as a sports in Glassboro, New Jersey and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Glassboro and lists Jeremy Boyd, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1841701141
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameTRIFECTA THERAPEUTICS, LLC
Location Address107 ROWAN BLVDGlassboro, NJ 08028-2203
Mailing Address75 Village Green LnSicklerville, NJ 08081-1629 · (917) 885-1760
Phone(856) 347-0333
Fax(856) 230-7164
Organization SubpartNo
Authorized OfficialJeremy BoydOwner/ceo · (856) 347-0333
Enumeration DateOctober 13, 2017
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1841701141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in NJ · 40QA01529700
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical TherapistTaxonomy 225100000X · License 40QA01529700 (NJ)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 40QA01529700 (NJ)
107 ROWAN BLVD, Glassboro, NJ 08028
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Secondary Practice Location 1

Location 1102 High St WGlassboro, NJ 08028-2524 · Phone (856) 347-0333

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Trifecta Therapeutics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Trifecta Therapeutics, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Jeremy Boyd, PT, DPT, OCS, SCS
Physical Therapist in Private Practice
NPI 1407273642
107 ROWAN BLVD
Glassboro, NJ 08028
(856) 347-0333
✔ Accepts MedicareSame address
Christopher Carroll, PT, DPT
Physical Therapist in Private Practice
NPI 1265133532
107 ROWAN BLVD
Glassboro, NJ 08028
(856) 347-0333
Same address
Tara Cox, PT, DPT, OCS
Physical Therapist in Private Practice
NPI 1154915536
107 ROWAN BLVD
Glassboro, NJ 08028
(856) 347-0333
Same address
Justin Hanus, PT, DPT, CSCS
Physical Therapist in Private Practice
NPI 1700433521
107 ROWAN BLVD
Glassboro, NJ 08028
(856) 347-0333
✔ Accepts MedicareSame address
Alexander Pena, PT, DPT
Physical Therapist in Private Practice
NPI 1235975194
107 ROWAN BLVD
Glassboro, NJ 08028
(856) 347-0333
✔ Accepts MedicareSame address
John Vizzini
Physical Therapist in Private Practice
NPI 1649945353
107 ROWAN BLVD
Glassboro, NJ 08028
(856) 347-0333
✔ Accepts MedicareSame address
Brielle Oden, PT, DPT
Physical Therapist in Private Practice
NPI 1346100732
107 ROWAN BLVD
Glassboro, NJ 08028
(856) 347-0333
✔ Accepts Medicare0.1 mi
Alison Guido, PT, DPT
Physical Therapist in Private Practice
NPI 1023686243
205 WHITE HORSE RD E
Voorhees, NJ 08043
(856) 435-2323
✔ Accepts Medicare11 mi
Cale Walker
Physical Therapist in Private Practice
NPI 1144934258
520 S 19TH ST
Philadelphia, PA 19146
(215) 546-0251
✔ Accepts Medicare17 mi
Jared Capozza, DPT
Physical Therapist in Private Practice
NPI 1265206833
17 RAVINE RD
Malvern, PA 19355
(484) 800-8186
✔ Accepts Medicare33 mi

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 Trifecta Therapeutics, LLC's NPI number?

The NPI number for Trifecta Therapeutics, LLC is 1841701141. It was assigned to this organization in the NPPES registry on October 13, 2017.

Where is Trifecta Therapeutics, LLC located?

Trifecta Therapeutics, LLC is located at 107 Rowan Blvd, Glassboro, NJ 08028. The listed phone number is (856) 347-0333.

What is Trifecta Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Trifecta Therapeutics, LLC enrolled in Medicare?

Yes. Trifecta Therapeutics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trifecta Therapeutics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Trifecta Therapeutics, 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, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trifecta Therapeutics, LLC was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.