NPIMap

Organization Active NPI

Trinity Physical Therapy & Rehab Inc

  • Physical Therapist
  • Oak Park, MI
National Provider Identifier
1861549560
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009768 Issued in MI
Legal business name
TRINITY PHYSICAL THERAPY & REHAB INC
Practice address
21675 Coolidge Hwy Ste B
Oak Park, MI 48237-3171
Phone
(248) 336-9025
Fax
(248) 336-9026
NPI assigned
Jan 4, 2007
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Mr. Bejoice Thomas, RPTNPI 1386706257
Title
President
Phone
(248) 761-9979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501009768 MI Primary

Addresses

Primary practice location

21675 Coolidge Hwy Ste B
Oak Park, MI 48237-3171

Mailing address

21675 Coolidge Hwy Ste B
Oak Park, MI 48237-3171
Phone (248) 336-9025

Other identifiers 1

IdentifierTypeStateIssuer
650E018060OtherMIBCBSM

National Provider Directory

National Provider Directory

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1861549560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21675 COOLIDGE HWY STE B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373171",
            "telephone_number": "248-336-9025",
            "fax_number": "248-336-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21675 COOLIDGE HWY STE B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373171",
            "telephone_number": "248-336-9025",
            "fax_number": "248-336-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHYSICAL THERAPY & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BEJOICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-761-9979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650E018060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.