Active NPI
Abbey Makens, COTA
- Occupational Therapy Assistant
- Saint Croix Falls, WI
National Provider Identifier
1124514559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 750 E Louisiana St
Saint Croix Falls, WI 54024-9501 - Phone
- (715) 483-9815
- NPI assigned
- Jul 9, 2018
- Last updated
- Apr 25, 2022
- 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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
750 E Louisiana St
Saint Croix Falls, WI 54024-9501
Mailing address
503 Prairie Rd
New Richmond, WI 54017-1282
Phone (715) 554-2414
Other practice location 1
329 Exempla Cir
Lafayette, CO 80026-3482
Phone (720) 639-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403869 | Other | NBCOTA |
Other names 1
- Abbey Makens
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | alharris7519@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1124514559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 PRAIRIE RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171282",
"telephone_number": "715-554-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E LOUISIANA ST",
"city": "SAINT CROIX FALLS",
"state": "WI",
"postal_code": "540249501",
"telephone_number": "715-483-9815"
}
],
"practiceLocations": [
{
"address_1": "329 Exempla Cir",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "800263482",
"country_code": "US",
"telephone_number": "720-639-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKENS",
"first_name": "ABBEY",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOTA",
"identifier": "403869",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "alharris7519@gmail.com",
"affiliation": "N",
"address_1": "750 E Louisiana St",
"city": "Saint Croix Falls",
"state": "WI",
"country_code": "US",
"postal_code": "540249501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ABBEY",
"last_name": "MAKENS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Croix Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.