Tristate Rehabilitation and Therapy Center, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

TRISTATE REHABILITATION AND THERAPY CENTER, INC.

Practice address

4455 W 117TH St
Suite 102
Hawthorne, CA 90250-2241

Phone

(310) 978-8664

Fax

(310) 978-8671

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Nusuri Ahmed

Title

President

Phone

(310) 978-8664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205986130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 W 117TH ST",
            "address_2": "SUITE 102",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502241",
            "telephone_number": "310-978-8664",
            "fax_number": "310-978-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 W 117TH ST",
            "address_2": "SUITE 102",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502241",
            "telephone_number": "310-978-8664",
            "fax_number": "310-978-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE REHABILITATION AND THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NUSURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-978-8664"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndon Tran
• Mai Tran, RDH
• Tri Minh Tran, PHARMACY DOCTORATE
• Brandon Trapp
• Jonathan Trinh, PHARMD.
• Paige Kathryn Trivedi
• Gabriella Reed Troggio, PT, DPT
• Ky Hue Tu, RDH
• Brent Arlenton Tucker, D.D.S.
• Patricia N Turley, DDS

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.