Provider Demographics
NPI:1447914551
Name:OAKLAND PT INC
Entity type:Organization
Organization Name:OAKLAND PT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEEPIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KALYANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-688-6617
Mailing Address - Street 1:PO BOX 71503
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-0503
Mailing Address - Country:US
Mailing Address - Phone:248-688-6617
Mailing Address - Fax:248-498-6754
Practice Address - Street 1:29877 TELEGRAPH RD STE 250
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7658
Practice Address - Country:US
Practice Address - Phone:248-688-6617
Practice Address - Fax:248-498-6754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy