Provider Demographics
NPI:1851472005
Name:TRINITY ORTHOPEDICS, PA
Entity Type:Organization
Organization Name:TRINITY ORTHOPEDICS, PA
Other - Org Name:TRINITY REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:817-283-5252
Mailing Address - Street 1:809 W HARWOOD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3289
Mailing Address - Country:US
Mailing Address - Phone:817-283-5252
Mailing Address - Fax:817-283-5283
Practice Address - Street 1:809 W HARWOOD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3289
Practice Address - Country:US
Practice Address - Phone:817-283-5252
Practice Address - Fax:817-283-5283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty