Triphysio LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRIPHYSIO LLC

Practice address

4340 Genesee Ave Ste 210
San Diego, CA 92117-4940

Phone

(858) 997-7638

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Russell O Bautista, PT

Title

Ceo

Phone

(858) 997-7638

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oscar Russell Ordonez Bautista, P.T.

  • Physical Therapist
  • San Diego, CA
  • NPI 1316135015
  Medicare reassignment NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1881290468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 STATION VILLAGE LN APT 2105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085588",
            "telephone_number": "858-997-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 GENESEE AVE STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174940",
            "telephone_number": "858-997-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-997-7638",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merlyn Sulangi Trinidad, RN
• Trinity Medical Solutions LLC
• Trinity Way Pharmacy, Inc.
• Donald Triolo, D.P.M.
• Mohan Sanjay Tripathi, M.D.
• Jared Michael Triplehorn
• Bobby Josephine Triplett
• Stephanie Triplett
• Tiffany Triplett, MA, LMFT, APCC
• Jessica Ruth Tripp, LVN

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.