NPIMap

Organization Active NPI

Allied Physicians Inc., D/B/a Tri-State Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Peru, IN
National Provider Identifier
1528059334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE
Practice address
1692 W Logansport Rd
N.C.I.
Peru, IN 46970-3149
Phone
(765) 473-6864
NPI assigned
Nov 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen R Smith
Title
Ceo/Treasurer
Phone
(260) 436-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1692 W Logansport Rd
N.C.I.
Peru, IN 46970-3149

Mailing address

1692 W Logansport Rd
N.C.I.
Peru, IN 46970-3149
Phone (765) 473-6864

National Provider Directory

National Provider Directory
Tax ID family
Allied Physicians Inc Dba Fort Wayne Neurosurgery41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528059334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 W LOGANSPORT RD",
            "address_2": "N.C.I.",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703149",
            "telephone_number": "765-473-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 W LOGANSPORT RD",
            "address_2": "N.C.I.",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703149",
            "telephone_number": "765-473-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/TREASURER",
        "authorized_official_telephone_number": "260-436-2416"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.