Individual provider Active NPI

Makenzie Kay Johnson

  • Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1194466938
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1243 Issued in SD
Practice address
1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314
Phone
(605) 231-2490
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 1243 SD Primary

Addresses

Primary practice location

1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314

Mailing address

722 Valley View Dr
Vermillion, SD 57069-3586
Phone (605) 760-1471

Other names 1

  • Makenzie Kay Kathol Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240924004278 KS Practitioner - Occupational Therapist in Private Practice 4284020413 Reassigns benefits to 2 organizations
I20250806001062 MO Practitioner - Occupational Therapist in Private Practice 4284020413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, shared by 4 NPIs, 207 clinicians

Practice addresses (Care Compare)

1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1243SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Sep 11, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Sep 11, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Sep 11, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Sep 11, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1194466938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 VALLEY VIEW DR",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693586",
            "telephone_number": "605-760-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WEST AVE STE 210",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041314",
            "telephone_number": "605-231-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAKENZIE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "KATHOL",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.