MS. AMY JEANETTE TREVINO (MPT) – Physical Therapist, NPI 1679554935
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA
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Provider Addresses for MS. AMY JEANETTE TREVINO (MPT)
9315, Gravelly Lake Drive Southwest, Lakewood Plaza Apartments, Custer, Lakewood, Pierce County, Washington, 98499, United States
SUITE 306
LAKEWOOD, WA 984991574
Phone: (253) 581-5200
Fax: (253) 581-5203
Type: Mailing
9514, Gravelly Lake Drive Southwest, Lakewood Plaza Apartments, Clover Park, Lakewood, Pierce County, Washington, 98499, United States
LAKEWOOD, WA 984991514
Phone: (253) 983-9395
Fax: (253) 983-9411
Type: Location
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: 2014-02-24
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140224001900 | I | Physical Therapist In Private Practice | WA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 622 | 87 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 377 | 78 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 248 | 64 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 62 | 33 | $0 |
| 97016 | Application of blood vessel compression device | 59 | 16 | $0 |
Insurance plans in this area (ZIP 98499)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WA | 97001 | Physical therapy evaluation | 50 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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