Healthcare Provider Details

I. General information

NPI: 1801705421
Provider Name (Legal Business Name): BINA NAGE TALEKAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BINA NAGE TALEKAR DPT

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 W PARNALL RD
JACKSON MI
49201-8652
US

IV. Provider business mailing address

1193 BICENTENNIAL PKWY
ANN ARBOR MI
48108-7937
US

V. Phone/Fax

Practice location:
  • Phone: 734-507-9343
  • Fax:
Mailing address:
  • Phone: 734-507-9343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501007203
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: