MEDICARE: OT OF MICHIGAN INC,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1205617511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OT OF MICHIGAN INC,

Provider Business Mailing Address
First Line	:	1120 E LONG LAKE RD STE 101
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-4974
Country	:	US
Telephone Number	:	248-234-8617
Fax Number	:	248-928-0463

Provider Business Practice Location Address
First Line	:	1120 E LONG LAKE RD STE 101
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-4974
Country	:	US
Telephone Number	:	248-234-8617
Fax Number	:	248-928-0463

Authorized Official
Title or Position	:	OWNER
Name	:	VIAN KOMA
Credential	:
Telephone Number	:	248-234-8617

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	11/02/2023

Similar Medicare Providers

1871435651 — MASON JABERO DC
Practice Location Address:

1120 E LONG LAKE RD STE 101
TROY, MI
48085-4974

Practice Phone: 810-964-4969
Practice Fax:

1104158013 — MUA CENTER LLC
Practice Location Address:

1120 E LONG LAKE RD , SUITE #105
TROY, MI
48085-4974

Practice Phone: 248-526-9090
Practice Fax:

1629300884 — FEDERAL MEDICAL SERVICES PC
Practice Location Address:

1120 E LONG LAKE RD , SUITE # 105
TROY, MI
48085-4974

Practice Phone: 248-526-9090
Practice Fax:

1750919601 — MR. BENJAMIN J BLANKENSHIP LMT
Practice Location Address:

1120 E LONG LAKE RD
TROY, MI
48085-4974

Practice Phone: 855-629-2805
Practice Fax:

1114513629 — DR. EMMA LAURA SCARPACI DC
Practice Location Address:

1120 E LONG LAKE RD
TROY, MI
48085-4974

Practice Phone: 248-729-7180
Practice Fax:

1346092418 — CONCORDE REHAB INC.
Practice Location Address:

1120 E LONG LAKE RD STE 100
TROY, MI
48085-4974

Practice Phone: 248-729-7180
Practice Fax:

Directions to “OT OF MICHIGAN INC, ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.