Oakstride Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22490 Issued in MD

Legal business name

OAKSTRIDE PHYSICAL THERAPY, LLC

Practice address

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3259

Phone

(301) 605-5258

Fax

(888) 460-0827

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Oluyemisi A Kalejaiye, PTNPI 1811121734

Title

Owner/ Lead Physical Therapist

Phone

(443) 657-3036

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oluyemisi Adeola Kalejaiye, PT

  • Physical Therapist
  • Columbia, MD
  • NPI 1811121734
  NPD (past) Authorized official

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1871090118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PINEY BRANCH CIR APT 427",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761837",
            "telephone_number": "443-657-3036",
            "fax_number": "888-460-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453259",
            "telephone_number": "301-605-5258",
            "fax_number": "888-460-0827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 Piney Branch Cir",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MD",
            "postal_code": "210761833",
            "country_code": "US",
            "telephone_number": "443-657-3036",
            "fax_number": "888-460-0827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKSTRIDE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "KALEJAIYE",
        "authorized_official_first_name": "OLUYEMISI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ LEAD PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "443-657-3036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "PT22490",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.