Individual provider Active NPI

Alexandria Gignac Goulet, OTR/L

  • Occupational Therapist
  • Southfield, MI
National Provider Identifier
1528851680
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014150 Issued in MI
Practice address
23800 W 10 Mile Rd Ste 193
Southfield, MI 48033-3194
Phone
(248) 827-1100
Fax
(248) 827-1120
NPI assigned
May 22, 2025
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 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 5201014150 MI Primary

Addresses

Primary practice location

23800 W 10 Mile Rd Ste 193
Southfield, MI 48033-3194

Mailing address

23800 W 10 Mile Rd Ste 193
Southfield, MI 48033-3194
Phone (248) 827-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616001410 MI Practitioner - Occupational Therapist in Private Practice 5092226217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walk the Line to Sci Recovery IncGroup PAC ID 3072656206, 6 clinicians

Practice addresses (Care Compare)

23800 W 10 Mile Rd
Suite 193
Southfield, MI 48033-3194
Phone (248) 827-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Walk the Line to Sci Recovery, Inc. CurrentSince Jun 12, 2025 Accepting new patients

Locations

23800 W 10 Mile Rd
Ste 193
Southfield, MI 48033
Phone (248) 827-1100

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.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1528851680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 193",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-827-1100",
            "fax_number": "248-827-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 193",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-827-1100",
            "fax_number": "248-827-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGNAC GOULET",
        "first_name": "ALEXANDRIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.