Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabetha Kassab, OT

Individual provider Physician Assistant · NPI 1508444589

Tabetha Kassab, OT is a Physician Assistant in Livonia, Michigan. Qualified in 2021, 5 years ago. Practices with Summit Psychiatric Services, PLC, an 11-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

20010 Farmington Rd
Livonia, MI 48152-1408
Phone: (248) 471-7171
Fax: (248) 471-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41000 Woodward Ave, Bloomfield Hills, MI 48304-5130 — (248) 850-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011082 (MI)
Occupational Therapist Taxonomy 225X00000X (MI)

Record details

NPI number1508444589
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorYes
NPI enumeratedMarch 31, 2021
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Summit Psychiatric Services, P.L.C. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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