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

Vincent James Tkac, MSOTRL

Individual provider Occupational Therapist · NPI 1033771589

Vincent James Tkac, MSOTRL is an Occupational Therapist in Private Practice in Southfield, Michigan. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

23265 Northwestern Hwy Ste 200
Southfield, MI 48075-7707
Phone: (248) 996-9428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201010622 (MI)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1033771589
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOTRL
Sole proprietorYes
NPI enumeratedJuly 5, 2019
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing addressPo Box 7427, Dearborn, MI 48121-7427

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southfield