Organization Active NPI

Trinity Manual & Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Mt Pleasant, MI
National Provider Identifier
1457512279
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRINITY MANUAL & SPORTS PHYSICAL THERAPY
Practice address
215 W Broadway St
Mt Pleasant, MI 48858-2502
Phone
(989) 317-4455
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Paul Barbu, P.T.NPI 1427192731
Title
Owner
Phone
(989) 854-2510

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

215 W Broadway St
Mt Pleasant, MI 48858-2502

Mailing address

215 W Broadway St
Mt Pleasant, MI 48858-2502
Phone (989) 317-4455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080825000290 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294800355 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Pleasant, MI

National Provider Directory

National Provider Directory

Locations

1625 E Broomfield St
Ste A
Mt Pleasant, MI 48858
Phone (989) 317-4455

Practitioners & affiliated clinicians

Practitioners 1

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": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1457512279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582502",
            "telephone_number": "989-317-4455",
            "fax_number": "989-317-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582502",
            "telephone_number": "989-317-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MANUAL & SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "BARBU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-854-2510",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.