Individual provider Active NPI

Maggie Tappitake

  • Occupational Therapist
  • Oakland, CA
National Provider Identifier
1043875065
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2024-0145 Issued in NM
Practice address
2780 26TH Ave
Oakland, CA 94601-1911
Phone
(510) 536-1838
NPI assigned
May 6, 2019
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
762018538OtherNYDRIVER'S LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015001827 NM Practitioner - Occupational Therapist in Private Practice 9830420058 Reassigns benefits to 1 organization

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
Balanced Physical Therapy and Wellness LLCGroup PAC ID 9032427513, 50 clinicians

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

LicenseStateTypeSpecialty
2024-0145NMMDOccupational Therapist
023584-1NYMDOccupational Therapist
023584NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Physical Therapy and Wellness, LLC CurrentSince Sep 16, 2024 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.

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.

Verify at the official NPI Registry.