Melissa Maki, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15347-24 Issued in WI

Practice address

129 Old Abe Rd
Lac Du Flambeau, WI 54538-9386

Phone

(715) 588-3371

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lac Du Flambeau Band of Lake Superior Chippewa IndiansGroup PAC ID 5496707242, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  dba Peter Christensen Health Center

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
  • NPI 1134235047
  Medicare reassignment Care Compare group NPD
• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  dba Family Resource Center

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
  • NPI 1306016563
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1316524754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 OLD ABE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545389386",
            "telephone_number": "715-588-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 OLD ABE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545389386",
            "telephone_number": "715-588-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15347-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Lamp, LDH
• Nicholis Ross Laporte, PHARMD
• Tieheena M Lemerond, SAC-IT
• Wendy Lindstrom, CADCIII
• Heather Lom, MSW, APSW
• Nicole Maletzke, DMD
• Katrina Angel Mares, DC
• Alissa R Martin, MSW, APSW
• Pauline Ann Martin, RN
• Deanna L Maulson-Greske, SAC-IT

• Physical Therapist in Lac Du Flambeau, WI
• Providers in Lac Du Flambeau, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.