Active NPI
Training Room Professional Athletic Services, LLC
- Physical Therapist
- Troy, MI
National Provider Identifier
1295801892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30696 | Other | BCBS FACILITY ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111109000416 | MI | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1355514290 | Practice locations: Troy, MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapy Assistant
- Troy, MI
- NPI 1912367293
-
- Physical Therapist
- West Bloomfield, MI
- NPI 1245458041
-
- Physical Therapy Assistant
- Troy, MI
- NPI 1053949289
-
- Physical Therapist
- Troy, MI
- NPI 1417221722
-
- Physical Therapist
- Naples, FL
- NPI 1326467416
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.