Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Trevor Scott Douglass, DPT

Individual provider Physical Therapist · NPI 1366167215

Dr. Trevor Scott Douglass, DPT is a Physical Therapist in Private Practice in Riverside, California. Qualified in 2022, 4 years ago. Practices with Marketplace Physical Therapy Inc, a Professional Corporation, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3191 Mission Inn Ave Ste B
Riverside, CA 92507-4188
Phone: (951) 684-2874
Fax: (951) 684-2980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 302457 (CA)

Record details

NPI number1366167215
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Marketplace Physical Therapy Inc, A Professional Corporation — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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