TRISHARD P.C. (NPI# 1992793442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992793442 |
| Entity Type | Organization |
| Organization Name | TRISHARD P.C. |
| Other Organization Name | MICHIGAN THERAPY INSTITUTE |
| Practice Address |
2117 E 11 Mile Rd Warren MI 48092-3553 |
| Practice Telephone | 5865734684 |
| Practice Fax Number | 5865732575 |
| Mailing Telephone | 5865734684 |
| Mailing Fax Number | 5865732575 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | MRS. PATRICIA PANTELLI (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 5865734684 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
MI | Ambulatory Health Care Facilities | |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 30628 | 01 |
| MI | BLUE CARE NETWORK | 30628 | 01 |
| Other Name | Type Code |
|---|---|
| Michigan Therapy Institute | Doing Business As Name - Organization |
| Street Address |
2117 E 11 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955751 | Mackenzie Nicole Morgan | Physical Therapist | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2020-09-02 |
| 1093271819 | Porfirio Trojillo | Physical Therapist | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2019-02-17 |
| 1861946311 | Brianna Alexandria Rosales | Specialist/Technologist | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2016-08-12 |
| 1821426214 | Jane Vedua | Physical Therapist | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2013-10-22 |
| 1174870612 | Susan Karwai Zhang | Physical Therapist | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2012-08-14 |
| 1548531676 | Daniela Petrova Kelliker | Physical Therapist | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2012-01-20 |
| 1376846832 | Neha Hasmukhlal Pandya | Physical Therapist | 2117 E 11 Mile Rd, Warren, MI 48092-3553 | 2010-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540335 | Performance Rehab Specialists LLC | Clinic/Center | 8200 Old 13 Mile Rd Ste 102, Warren, MI 48093-2171 | 2020-02-14 |
| 1770141970 | Genie Physical Therapy, LLC | Clinic/Center | 29230 Ryan Rd Ste D, Warren, MI 48092-4274 | 2019-06-03 |
| 1649742396 | Warren Team Care Physical Therapy LLC | Clinic/Center | 7560 E 9 Mile Rd, Warren, MI 48091-2643 | 2018-12-19 |
| 1932691466 | Faith Physical Therapy LLC | Clinic/Center | 30020 Schoenherr Rd Ste A, Warren, MI 48088-3125 | 2018-05-31 |
| 1609379841 | Atlas Physical Therapy & Rehab LLC | Clinic/Center | 13087 E 11 Mile Rd Ste 100, Warren, MI 48088-4795 | 2018-03-14 |
| 1124401625 | Great Lakes Physical Therapy and Rehabilitation LLC | Clinic/Center | 12434 E 12 Mile Rd Ste 101, Warren, MI 48093-3536 | 2015-07-01 |
| 1003210378 | Orthopedic Physical Therapy and Rehabilitation LLC | Clinic/Center | 27253 Van Dyke Ave, Warren, MI 48093-2858 | 2014-10-15 |
| 1083035067 | Michigan Tri-county Physical Therapy Pllc | Clinic/Center | 28475 Van Dyke Ave, Warren, MI 48093-7132 | 2013-12-18 |
| 1134556103 | Health Source Rehab, LLC | Clinic/Center | 4100 E 11 Mile Rd, Warren, MI 48091-1192 | 2013-10-04 |
| 1023035912 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 11569 East Twelve Mile Road, Warren, MI 48093 | 2006-07-16 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.