Active NPI
Brandon Trivax, D.O.
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Royal Oak, MI
National Provider Identifier
1841687068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 58.030743
- Practice address
- 3535 W 13 Mile Rd Ste 437
Royal Oak, MI 48073-6770 - Phone
- (248) 288-2210
- Fax
- (248) 589-9875
- NPI assigned
- Apr 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | 58.030743 | OH | Primary |
Addresses
Primary practice location
3535 W 13 Mile Rd Ste 437
Royal Oak, MI 48073-6770
Mailing address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 770-5046
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | athomas@lmtrehab.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Michigan State University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 288-2210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.030743 | OH | MD | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMT Rehabilitation Associates,PC | Current | Accepting new patients | |
| LMT Rehabilitation Associates,PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| LMT Rehabilitation Associates | Past | Accepting new patients |
Locations
3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073
Phone (248) 288-2210
4600 Investment Dr
Ste 180
Troy, MI 48098
Phone (248) 288-2210
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Royal Oak, MI
- NPI 1154372746
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Macomb, MI
- NPI 1265652994
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Rochester Hills, MI
- NPI 1093933806
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Royal Oak, MI
- NPI 1215916812
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1841687068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 METROHEALTH DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 W 13 MILE RD STE 437",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736770",
"telephone_number": "248-288-2210",
"fax_number": "248-589-9875"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-770-5046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIVAX",
"first_name": "BRANDON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-26",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": "OH",
"license": "58.030743",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "athomas@lmtrehab.com",
"affiliation": "N",
"address_1": "3535 W 13 Mile Rd Ste 437",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.