Individual provider Active NPI

Peter Mircea Trifan, PT, DPT

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1497070841
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015145 Issued in MI
Practice address
43050 Ford Rd Ste 100
Canton, MI 48187-3374
Phone
(734) 844-9130
Fax
(734) 953-1622
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501015145 MI
Physical Therapist 225100000X 5501015145 MI Primary

Addresses

Primary practice location

43050 Ford Rd Ste 100
Canton, MI 48187-3374

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other practice location 1

22601 Allen Rd Ste 200
Woodhaven, MI 48183-2273
Phone (734) 692-4155

Other practice location 2

1613 S Huron St
Ypsilanti, MI 48197-9701
Phone (734) 483-9200

Other practice location 3

37699 6 Mile Rd Ste 200
Livonia, MI 48152-3994
Phone (734) 953-4155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101030000127 MI Practitioner - Physical Therapist in Private Practice 2264626514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All-Pro Physical Therapy LLCGroup PAC ID 0345376919, 7 clinicians

Practice addresses (Care Compare)

43050 Ford Rd
Suite 100
Canton, MI 48187-3374
Phone (734) 953-4155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015145MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All-Pro Physical Therapy LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1497070841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43050 FORD RD STE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873374",
            "telephone_number": "734-844-9130",
            "fax_number": "734-953-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22601 Allen Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481832273",
            "country_code": "US",
            "telephone_number": "734-692-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 S Huron St",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481979701",
            "country_code": "US",
            "telephone_number": "734-483-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37699 6 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523994",
            "country_code": "US",
            "telephone_number": "734-953-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIFAN",
        "first_name": "PETER",
        "middle_name": "MIRCEA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501015145",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.