Active NPI
Maggie Tappitake
- Occupational Therapist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2024-0145
- Practice address
- 2780 26TH Ave
Oakland, CA 94601-1911 - Phone
- (510) 536-1838
- NPI assigned
- May 6, 2019
- Last updated
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 023584-1 | NY | |
| Occupational Therapist | 225X00000X | 23590 | CA | |
| Occupational Therapist | 225X00000X | 2024-0145 | NM | Primary |
Addresses
Primary practice location
2780 26TH Ave
Oakland, CA 94601-1911
Mailing address
597 E 17TH St
Brooklyn, NY 11226-6609
Other practice location 1
597 E 17th St
Brooklyn, NY 11226-6609
Phone (917) 692-6289
Other practice location 2
7849 Tramway Blvd NE Ste A
Albuquerque, NM 87122-2529
Phone (505) 821-3831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762018538 | Other | NY | DRIVER'S LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7849 Tramway Blvd NE
Suite a
Albuquerque, NM 87122-2529
Phone (505) 821-3831
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024-0145 | NM | MD | Occupational Therapist |
| 023584-1 | NY | MD | Occupational Therapist |
| 023584 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Physical Therapy and Wellness, LLC | Current | Accepting new patients |
Locations
7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Albuquerque, NM
- NPI 1407234917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1043875065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "597 E 17TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 26TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011911",
"telephone_number": "510-536-1838"
}
],
"practiceLocations": [
{
"address_1": "597 E 17th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112266609",
"country_code": "US",
"telephone_number": "917-692-6289",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7849 Tramway Blvd NE Ste A",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871222529",
"country_code": "US",
"telephone_number": "505-821-3831",
"fax_number": "505-213-2958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAPPITAKE",
"first_name": "MAGGIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023584-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23590",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2024-0145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE NUMBER",
"identifier": "762018538",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.