Individual provider Active NPI

Deepti Kalyankar, PT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1154505493
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013480 Issued in MI
Practice address
2603 Lynwood Dr
Troy, MI 48083-5681
Phone
(248) 688-6617
NPI assigned
Dec 21, 2007
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501013480 MI Primary

Addresses

Primary practice location

2603 Lynwood Dr
Troy, MI 48083-5681

Mailing address

2603 Lynwood Dr
Troy, MI 48083-5681
Phone (248) 688-6617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013480MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Home Care Network Inc Current Accepting new patients
Oakland PT Inc Physical Therapist CurrentSince Jan 6, 2021 Accepting new patients
Core Rehab Services, Inc CurrentSince Feb 23, 2025 Accepting new patients
Mobility Plus Rehab Services Inc. Physical Therapist PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1154505493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 LYNWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835681",
            "telephone_number": "248-688-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 LYNWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835681",
            "telephone_number": "248-688-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALYANKAR",
        "first_name": "DEEPTI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.