Organization Active NPI

Training Room Professional Athletic Services, LLC

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1295801892
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRAINING ROOM PROFESSIONAL ATHLETIC SERVICES, LLC
Practice address
4062 Livernois Rd
Troy, MI 48098
Phone
(248) 619-1733
Fax
(248) 619-1744
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Ms. Cheryl Ann Ash
Title
Office Manager
Phone
(248) 619-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4062 Livernois Rd
Troy, MI 48098

Mailing address

4062 Livernois Rd
Troy, MI 48098
Phone (248) 619-1733

Other identifiers 1

IdentifierTypeStateIssuer
30696OtherBCBS FACILITY ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000416 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1355514290 Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

1819 E Big Beaver Rd
Ste 200
Troy, MI 48083
Phone (248) 619-1733

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1295801892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-619-1733",
            "fax_number": "248-619-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-619-1733",
            "fax_number": "248-619-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAINING ROOM PROFESSIONAL ATHLETIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-619-1733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY ID",
            "identifier": "30696",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.