Individual provider Active NPI

Makayla Wentworth, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Wynnewood, PA
National Provider Identifier
1194606905
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC020967 Issued in PA
Practice address
308 E Lancaster Ave Ste 315
Wynnewood, PA 19096-2150
Phone
(215) 275-8710
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OC020967 PA Primary

Addresses

Primary practice location

308 E Lancaster Ave Ste 315
Wynnewood, PA 19096-2150

Mailing address

2200 Benjamin Franklin Pkwy Apt S1605
Philadelphia, PA 19130-3618

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

LicenseStateTypeSpecialty
OC020967PAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Occupational Therapy, LLC Pediatrics CurrentSince Sep 14, 2025 Accepting new patients

Locations

308 E Lancaster Ave
Ste 315
Wynnewood, PA 19096
Phone (215) 275-8710

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1194606905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BENJAMIN FRANKLIN PKWY APT S1605",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E LANCASTER AVE STE 315",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962150",
            "telephone_number": "215-275-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "MAKAYLA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC020967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.