Olatunde Abiodun Alade

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005687 Issued in MI

Practice address

41069 Dequindre Rd Ste 101
Troy, MI 48085-6730

Phone

(248) 733-5334

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dequindre Physical Therapy & Rehab Service Inc.

  • Specialist
  • Troy, MI
  • NPI 1871675447
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1174525638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41069 DEQUINDRE RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856730",
            "telephone_number": "248-733-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41069 DEQUINDRE RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856730",
            "telephone_number": "248-733-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALADE",
        "first_name": "OLATUNDE",
        "middle_name": "ABIODUN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4429125",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "41069 Dequindre Rd Ste 101",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480856730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mahmoud Al-Shami, M.D.
• Mohammad Z Al-Sharabi, M. D.
• Dunya Al-Souri
• Kheir Al-Zouhayli, MD
• Alabama Dental Specialist LLC
• Achir Ahmad Alalami, M.D
• Sidra Alam, TLLP
• Alan L Biddinger MD PHD PC
• Zinah Alani
• Addra Alany

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.