Individual provider Active NPI

Deborah Marie Wakeen, BA

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1144026493
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2025-0003 Issued in NM
Practice address
5129 Washburn Ave S
Minneapolis, MN 55410-2253
Phone
(760) 417-0827
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-2025-0003 NM Primary

Addresses

Primary practice location

5129 Washburn Ave S
Minneapolis, MN 55410-2253

Mailing address

5129 Washburn Ave S
Minneapolis, MN 55410-2253
Phone (760) 417-0827

Other names 1

  • Deborah Marie Wakeen Professional name

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
OT-2025-0003NMMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1144026493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 WASHBURN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102253",
            "telephone_number": "760-417-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 WASHBURN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102253",
            "telephone_number": "760-417-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEEN",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT-2025-0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WAKEEN",
            "middle_name": "MARIE",
            "credential": "BA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.