OrganizationActive
Tristate Rehabilitation and Therapy Center, Inc.
NPI 1205986130 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Hawthorne, CA
Provider details
- NPI number
- 1205986130
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nusuri Ahmed, President(310) 978-8664
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4455 W 117th St
Suite 102
Hawthorne, CA 90250-2241
Phone: (310) 978-8664
Fax: (310) 978-8671
Street-level locationGet directions
Mailing address
4455 W 117th St
Hawthorne, CA 90250-2241
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.