Active NPI
Kassandra Elaine Tanana, OTR/L
- Occupational Therapist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 534840
- Practice address
- 33111 Plymouth Rd
Livonia, MI 48150-1718 - Phone
- (313) 263-6250
- NPI assigned
- Jul 30, 2025
- 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 | 534840 | MI | Primary |
Addresses
Primary practice location
33111 Plymouth Rd
Livonia, MI 48150-1718
Mailing address
33111 Plymouth Rd
Livonia, MI 48150-1718
Other practice location 1
7007 Dexter Ann Arbor Rd Ste A
Dexter, MI 48130-8568
Phone (734) 680-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Boston, MA 02241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 534840 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7007 Dexter Ann Arbor Rd
Ste A
Dexter, MI 48130
Phone (734) 680-8800
33111 Plymouth Rd
Livonia, MI 48150
Phone (248) 304-7027
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730
11488 Telegraph Rd
Ste 1
Taylor, MI 48180
Phone (734) 680-8077
1434 W Chicago Blvd
Ste A
Tecumseh, MI 49286
Phone (517) 507-5555
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 and National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1700769320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33111 PLYMOUTH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33111 PLYMOUTH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501718",
"telephone_number": "313-263-6250"
}
],
"practiceLocations": [
{
"address_1": "7007 Dexter Ann Arbor Rd Ste A",
"address_purpose": "LOCATION",
"city": "Dexter",
"state": "MI",
"postal_code": "481308568",
"country_code": "US",
"telephone_number": "734-680-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANANA",
"first_name": "KASSANDRA",
"middle_name": "ELAINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "534840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.