Organization Active NPI

Tririga Rehab LLC

  • Physical Therapy Clinic/Center
  • Bloomfield Hills, MI
National Provider Identifier
1952766826
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRIRIGA REHAB LLC
Practice address
800 W Long Lake Rd Ste 103
Bloomfield Hills, MI 48302-2033
Phone
(248) 480-0900
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Mr. Jims T Varghese, DPTNPI 1063722676
Title
Physical Therapist
Phone
(248) 805-4181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MI Primary

Addresses

Primary practice location

800 W Long Lake Rd Ste 103
Bloomfield Hills, MI 48302-2033

Mailing address

800 W Long Lake Rd Ste 103
Bloomfield Hills, MI 48302-2033
Phone (248) 480-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160315002189 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789988635 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Hills, MI; Warren, MI

National Provider Directory

National Provider Directory

Locations

800 W Long Lake Rd
Ste 103
Bloomfield Hills, MI 48302
Phone (248) 336-9025

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1952766826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W LONG LAKE RD STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022033",
            "telephone_number": "248-480-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W LONG LAKE RD STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022033",
            "telephone_number": "248-480-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIRIGA REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "JIMS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-805-4181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.