Active NPI
Makayla Alice Wirt
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1053201939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-009917
- Practice address
- 5815 W Utopia Rd
Glendale, AZ 85308 - Phone
- (623) 537-6000
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-009917 | AZ | Primary |
Addresses
Primary practice location
5815 W Utopia Rd
Glendale, AZ 85308
Mailing address
2043 W Andalusian TRL
Phoenix, AZ 85085-8646
Phone (480) 531-4641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-009917 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1053201939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2043 W ANDALUSIAN TRL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858646",
"telephone_number": "480-531-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 W UTOPIA RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "623-537-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRT",
"first_name": "MAKAYLA",
"middle_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-009917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.