NPIMap

Organization Active NPI

OT of Michigan Inc,

  • Occupational Therapy Assistant
  • Troy, MI
National Provider Identifier
1205617511
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
OT OF MICHIGAN INC,
Practice address
1120 E Long Lake Rd Ste 101
Troy, MI 48085-4974
Phone
(248) 234-8617
Fax
(248) 928-0463
NPI assigned
Oct 12, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Vian KomaNPI 1639900723
Title
Owner
Phone
(248) 234-8617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU Primary

Addresses

Primary practice location

1120 E Long Lake Rd Ste 101
Troy, MI 48085-4974

Mailing address

1120 E Long Lake Rd Ste 101
Troy, MI 48085-4974
Phone (248) 234-8617

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1205617511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E LONG LAKE RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854974",
            "telephone_number": "248-234-8617",
            "fax_number": "248-928-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E LONG LAKE RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854974",
            "telephone_number": "248-234-8617",
            "fax_number": "248-928-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT OF MICHIGAN INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "KOMA",
        "authorized_official_first_name": "VIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-234-8617"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.