Organization Active NPI

Tri City Rehab Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Bay City, MI
National Provider Identifier
1063982064
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TRI CITY REHAB PHYSICIANS PLLC
Practice address
4121 Shrestha Dr
Bay City, MI 48706-2171
Phone
(989) 890-4322
NPI assigned
Dec 3, 2018
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Babu NahataNPI 1437196920
Title
MD
Phone
(989) 890-4322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

4121 Shrestha Dr
Bay City, MI 48706-2171

Mailing address

204 W Buttles St
Midland, MI 48640-4912
Phone (989) 791-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181218000302 MI Part B Supplier - Clinic/Group Practice 5092050252 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

204 W Buttles St
Midland, MI 48640

4489 M 61
Ste 2
Standish, MI 48658
Phone (989) 890-4322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1063982064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W BUTTLES ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404912",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 SHRESTHA DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062171",
            "telephone_number": "989-890-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY REHAB PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "NAHATA",
        "authorized_official_first_name": "BABU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "989-890-4322"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.