Individual provider Active NPI

Adelekan Kamilu Adeleke, P.T.

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1861554842
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006643 Issued in MI
Practice address
32171 Mound Rd
Warren, MI 48092-3872
Phone
(313) 541-7204
Fax
(313) 541-7216
NPI assigned
Dec 15, 2006
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 5501006643 MI Primary

Addresses

Primary practice location

32171 Mound Rd
Warren, MI 48092-3872

Mailing address

25940 Timberline Dr
Warren, MI 48091-6016
Phone (313) 541-7204

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Care Rehab Services Inc Physical Therapist CurrentSince Feb 9, 2025 Accepting new patients

Locations

32171 Mound Rd
Warren, MI 48092
Phone (313) 541-7204

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1861554842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25940 TIMBERLINE DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480916016",
            "telephone_number": "313-541-7204",
            "fax_number": "313-541-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32171 MOUND RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923872",
            "telephone_number": "313-541-7204",
            "fax_number": "313-541-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEKE",
        "first_name": "ADELEKAN",
        "middle_name": "KAMILU",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.