MICAH THOMAS TRENT (DPT) – Physical Therapist, NPI 1134959588

MICAH THOMAS TRENT (DPT) is a healthcare provider. based in Middleburg, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for MICAH THOMAS TRENT (DPT) is 1134959588

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MICAH THOMAS TRENT (DPT)
NPI
1134959588
Phone
(904) 644-7722
Address
2219 COUNTY ROAD 220
Enumeration Date
1 August 2024
Last Update Date
16 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046447722
Graduation Year
2024 (2 years ago)
PAC ID
4385175199
Group Practice PAC ID
7416384763
Professional Enrollment ID
I20241003003857
Address ID
FL320432553GR1305XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MICAH THOMAS TRENT (DPT)

  • 2219 COUNTY ROAD 220

    MIDDLEBURG, FL 320687777

    Phone: (904) 644-7722

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241003003857IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416384763View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm MICAH THOMAS TRENT (DPT)'s NPI?
Yes. MICAH THOMAS TRENT (DPT) is listed with NPI 1134959588 in the public NPI dataset.
Can I rely on MICAH THOMAS TRENT (DPT) being an active provider?
As of the registry snapshot, MICAH THOMAS TRENT (DPT) is marked active.
What healthcare role does MICAH THOMAS TRENT (DPT) hold?
Scheduling teams often label MICAH THOMAS TRENT (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MICAH THOMAS TRENT (DPT) based?
MICAH THOMAS TRENT (DPT) is tied to Middleburg, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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