Individual provider Active NPI

Mary Kaitlyn Coombs, OT

  • Occupational Therapist
  • Garden City, MI
National Provider Identifier
1114786076
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013400 Issued in MI
Practice address
29460 Ford Rd
Garden City, MI 48135-2318
Phone
(734) 522-0065
Fax
(734) 522-0068
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201013400 MI Primary

Addresses

Primary practice location

29460 Ford Rd
Garden City, MI 48135-2318

Mailing address

29460 Ford Rd
Garden City, MI 48135-2318
Phone (734) 522-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329001156 MI Practitioner - Occupational Therapist in Private Practice 2567800303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to You Rehab PLLCGroup PAC ID 2365789203, 14 clinicians

Practice addresses (Care Compare)

2512 Rochester Rd
Royal Oak, MI 48073-3635
Phone (248) 733-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201013400MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hand & Rehabilitation, LLC CurrentSince Jun 18, 2024 Accepting new patients
Comprehensive Hand & Rehabilitation, LLC Occupational Therapist CurrentSince Jun 18, 2024 Accepting new patients

Locations

1282 Kirts Blvd
Ste 102
Troy, MI 48084
Phone (248) 918-5560

5798 Highland Rd
Waterford, MI 48327
Phone (248) 724-4400

Organizations & group practices 3

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1114786076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29460 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352318",
            "telephone_number": "734-522-0065",
            "fax_number": "734-522-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29460 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352318",
            "telephone_number": "734-522-0065",
            "fax_number": "734-522-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "MARY",
        "middle_name": "KAITLYN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.