Active NPI
Patti Ann Kanouse, OTRL
- Occupational Therapist
- Dearborn, MI
National Provider Identifier
1275286528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201012772
- Practice address
- 22731 Newman St Ste 100B
Dearborn, MI 48124-2023 - Phone
- (313) 791-0616
- Fax
- (313) 791-0632
- NPI assigned
- Jan 27, 2022
- Last updated
- Mar 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201012772 | MI | Primary |
Addresses
Primary practice location
22731 Newman St Ste 100B
Dearborn, MI 48124-2023
Mailing address
562 Garfield Ave
Lincoln Park, MI 48146-2810
Phone (734) 672-0471
Other practice location 1
11012 E 13 Mile Rd Ste 200
Warren, MI 48093-2547
Phone (586) 573-8890
Other names 1
- Patti A Mulligan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Pmullig1@emich.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201012772 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Surgery Specialists P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Motus Rehabilitation
- Occupational Medicine Clinic/Center
- Warren, MI
- NPI 1164411278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1275286528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 GARFIELD AVE",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462810",
"telephone_number": "734-672-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22731 NEWMAN ST STE 100B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242023",
"telephone_number": "313-791-0616",
"fax_number": "313-791-0632"
}
],
"practiceLocations": [
{
"address_1": "11012 E 13 Mile Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480932547",
"country_code": "US",
"telephone_number": "586-573-8890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANOUSE",
"first_name": "PATTI",
"middle_name": "ANN",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201012772",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Pmullig1@emich.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "562 Garfield Ave",
"city": "Lincoln Park",
"state": "MI",
"country_code": "US",
"postal_code": "481462810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PATTI",
"last_name": "MULLIGAN",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.