Tom Kenneth Trumbull IV, DPT
NPI 1528394079ActiveIndividual· Physical Therapist· Grand Haven, MI
Physical Therapist (DPT) in Grand Haven, Michigan, licensed in MI, with an NPI issued in October 2009. Medicare paid $8,656 for services to 22 patients in 2024.
Overview
| NPI | 1528394079 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Oct 19, 2009 |
| Last updated in NPPES | Aug 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapist | 225100000X | 5501014850 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 483 across 5 procedure codes |
| Paid by Medicare | $8,656 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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