Tri-Care Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TRI-CARE PHYSICAL THERAPY LLC

Doing business as

Tri-Care Rehab Center

Practice address

24100 W. Warren Ave
Dearborn Heights, MI 48127

Phone

(313) 434-6000

Fax

(313) 427-8166

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Adeeb Nagib Sobh

Title

Owner

Phone

(313) 334-1116

Specialties & licenses 1

Addresses

Other names 1

• Tri-Care Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Ujjwal Kumar

  • Physical Therapist
  • Troy, MI
  • NPI 1811467913

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1407232739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 W. WARREN AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-434-6000",
            "fax_number": "313-427-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 W. WARREN AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-434-6000",
            "fax_number": "313-427-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "SOBH",
        "authorized_official_first_name": "ADEEB",
        "authorized_official_middle_name": "NAGIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-334-1116"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Care Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-Care Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jacqueline Truitt, LMT

• Physical Therapy Clinic/Center in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.