Individual provider Active NPI

Komal C Gulati, MHS OTR CHT

  • Occupational Therapist
  • Canton, MI
National Provider Identifier
1760419048
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201003133 Issued in MI
Practice address
Celestial Institute of Plastic Surgery
42680, Ford Rd
Canton, MI 48187-1291
Phone
(734) 658-8459
Fax
(734) 844-5703
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 5201003133 MI Primary

Addresses

Primary practice location

Celestial Institute of Plastic Surgery
42680, Ford Rd
Canton, MI 48187-1291

Mailing address

15869 Johnson Creek Dr
Northville, MI 48168-8013
Phone (734) 658-8459

Other practice location 1

Professional Therapy Solutions
1663 Stevenson Hwy
Troy, MI 48083
Phone (248) 327-6619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225001196 MI Practitioner - Occupational Therapist in Private Practice 9335533892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453

15869 Johnson Creek Dr
Northville, MI 48168-8013

42680 Ford Rd
Canton, MI 48187-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000000MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Handson Therapy PLLC CurrentSince May 1, 2025 Accepting new patients
Medstar Rehabilitation Inc. PastSince Jun 20, 2016 Accepting new patients
Functional Endocrinologist PLLC PastSince Mar 1, 2025 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Past Accepting new patients

Locations

42680 Ford Rd
Canton, MI 48187
Phone (734) 658-8459

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1760419048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15869 JOHNSON CREEK DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688013",
            "telephone_number": "734-658-8459",
            "fax_number": "248-773-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CELESTIAL INSTITUTE OF PLASTIC SURGERY",
            "address_2": "42680, FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871291",
            "telephone_number": "734-658-8459",
            "fax_number": "734-844-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Professional Therapy Solutions",
            "address_2": "1663 Stevenson Hwy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "48083",
            "country_code": "US",
            "telephone_number": "248-327-6619",
            "fax_number": "248-327-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULATI",
        "first_name": "KOMAL",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MHS OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.