Provider Demographics
NPI:1285282269
Name:TRINITY REHAB SERVICES
Entity type:Organization
Organization Name:TRINITY REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:USELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-478-5538
Mailing Address - Street 1:3008 E HEBRON PKWY BLDG 500
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4470
Mailing Address - Country:US
Mailing Address - Phone:972-478-5538
Mailing Address - Fax:
Practice Address - Street 1:3008 E HEBRON PKWY BLDG 500
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4470
Practice Address - Country:US
Practice Address - Phone:972-478-5538
Practice Address - Fax:972-820-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty