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TRISTATE REHABILITATION AND THERAPY CENTER, INC.
NPI 1205986130
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Hawthorne, CA

Active since January 11, 2007
4455 W 117TH ST, SUITE 102, HAWTHORNE, CA 90250(310) 978-8664(310) 978-8671 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tristate Rehabilitation And Therapy Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTATE REHABILITATION AND THERAPY CENTER, INC. (NPI 1205986130) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Hawthorne, California and active in the NPI registry since January 2007. The organization lists Nusuri Ahmed, President, as its authorized official.

NPPES Registry Identity

NPI1205986130
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameTRISTATE REHABILITATION AND THERAPY CENTER, INC.
Location Address4455 W 117TH ST, SUITE 102Hawthorne, CA 90250-2241
Mailing Address4455 W 117th St, Suite 102Hawthorne, CA 90250-2241 · (310) 978-8664 · Fax (310) 978-8671
Phone(310) 978-8664
Fax(310) 978-8671
Organization SubpartNo
Authorized OfficialNusuri AhmedPresident · (310) 978-8664
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205986130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
4455 W 117TH ST, Hawthorne, CA 90250
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA VIDA MULTI-SPECIALTY MEDICAL GROUP
Specialist
4455 W 117TH ST
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
FOX HILLS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
4455 W 117TH ST, STE 101
HAWTHORNE, CA 90250
Los Angeles County (310) 649-3774
PATRICK KNISLEY M.A., SLP
Speech-Language Pathologist
4455 W 117TH ST
HAWTHORNE, CA 90250
Los Angeles County (310) 838-1552
DR. RACHEL LYNN ECKERLING OTD, OTR/L
Occupational Therapist
4455 W 117TH ST
HAWTHORNE, CA 90250
Los Angeles County (310) 838-1552
KAREN ELIZABETH COURTNEY R.N.
Registered Nurse
4455 W 117TH ST
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
MAYA ELENA WILLE M.D.
Pediatrics
4455 W 117TH ST, SUITE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
TASHA DUTIL OTR/L
Occupational Therapist
4455 W 117TH ST
HAWTHORNE, CA 90250
Los Angeles County (310) 838-1552
WOMEN'S LIFECYCLE MEDICAL GROUP
Specialist
4455 W 117TH ST, SUITE 506
HAWTHORNE, CA 90250
Los Angeles County (310) 676-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristate Rehabilitation And Therapy Center, Inc.'s NPI number?

The NPI number for Tristate Rehabilitation And Therapy Center, Inc. is 1205986130. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Tristate Rehabilitation And Therapy Center, Inc. located?

Tristate Rehabilitation And Therapy Center, Inc. is located at 4455 W 117th St Suite 102, Hawthorne, CA 90250. The listed phone number is (310) 978-8664.

What is Tristate Rehabilitation And Therapy Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Tristate Rehabilitation And Therapy Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.