Active NPI
Oakland Physical Therapy and Rehabilitation ,Inc
- Physical Therapy Clinic/Center
- Southfield, MI
National Provider Identifier
1942343009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 236715
- Legal business name
- OAKLAND PHYSICAL THERAPY AND REHABILITATION ,INC
- Practice address
- 24450 Evergreen Rd
Suite 209
Southfield, MI 48075-5518 - Phone
- (248) 443-8091
- Fax
- (248) 443-8092
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naresh Chand
- Title
- Ceo President
- Phone
- (248) 443-8091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 236715 | MI | Primary |
Addresses
Primary practice location
24450 Evergreen Rd
Suite 209
Southfield, MI 48075-5518
Mailing address
24450 Evergreen Rd
Suite 209
Southfield, MI 48075-5518
Phone (248) 443-8091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30672 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111209000537 | MI | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9335178714 | Practice locations: Garden City, MI; Madison Heights, MI; Southfield, MI; Warren, MI |
National Provider Directory
National Provider DirectoryLocations
300 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 398-8075
24450 Evergreen Rd
Ste 209
Southfield, MI 48075
Phone (248) 443-8091
8424 E 12 Mile Rd
Ste 100
Warren, MI 48093
Phone (248) 443-8091
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Saint Clair Shores, MI
- NPI 1255515144
-
- Occupational Therapist
- Southfield, MI
- NPI 1285093880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380844800000",
"number": "1942343009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24450 EVERGREEN RD",
"address_2": "SUITE 209",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755518",
"telephone_number": "248-443-8091",
"fax_number": "248-443-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24450 EVERGREEN RD",
"address_2": "SUITE 209",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755518",
"telephone_number": "248-443-8091",
"fax_number": "248-443-8092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKLAND PHYSICAL THERAPY AND REHABILITATION ,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2013-10-04",
"status": "A",
"authorized_official_last_name": "CHAND",
"authorized_official_first_name": "NARESH",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "248-443-8091"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "236715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30672",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Oakland Integrated Healthcare Network (South Oakland Health Center)
- Oakland Integrated Healthcare Network (Plum Hollow Center)
- Oakland Metro Rehab Inc
- Oakland Mobile Medical Services
- Oakland Physical Therapy and Rehab Inc
- Oakland Psychological Clinic, P.C.
- Oakland PT Inc
- Oakland Regional Hospital Podiatry Group LLC
- Oakland Service Ventures LLC
- Oakland Southfield Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.