IndividualActive
Mackenzie Mousouleas, OTR/L
NPI 1679110480 · Occupational Therapist · Woodhaven, MI
Provider details
- NPI number
- 1679110480
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21267 Mayfair St
Woodhaven, MI 48183-1609
Phone: (734) 672-2933
Street-level locationGet directions
Mailing address
21267 Mayfair St
Woodhaven, MI 48183-1609
Registry dates
- Enumerated
- 2019-12-01
- Last updated
- 2019-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.