Individual provider Active NPI

Makkeda Rubin-Deloney, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1407000557
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8677 Issued in AZ
Practice address
2320 E Baseline Rd Ste 148-241
Phoenix, AZ 85042-6960
Phone
(623) 688-0282
Fax
(602) 698-9278
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8677 AZ Primary

Addresses

Primary practice location

2320 E Baseline Rd Ste 148-241
Phoenix, AZ 85042-6960

Mailing address

2320 E Baseline Rd Ste 148-241
Phoenix, AZ 85042-6960
Phone (623) 688-0282

Other practice location 1

2122 E Highland Ave
Suite 200
Phoenix, AZ 85016-4739
Phone (602) 778-0900

Other names 1

  • Makkeda Rubin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000669 AZ Practitioner - Physical Therapist in Private Practice 7517004682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2320 E Baseline Rd
Suite 148 241
Phoenix, AZ 85042-6960

624 W Gary Way
Phoenix, AZ 85041-8052
Phone (623) 688-0282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8677AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jul 25, 2023 Accepting new patients
Dedicated Therapy Services LLC Physical Therapist CurrentSince Jan 7, 2020 Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

2320 E Baseline Rd
Ste 148241
Phoenix, AZ 85042
Phone (623) 688-0282

Organizations & group practices 2

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1407000557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148-241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426960",
            "telephone_number": "623-688-0282",
            "fax_number": "602-698-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148-241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426960",
            "telephone_number": "623-688-0282",
            "fax_number": "602-698-9278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 E Highland Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164739",
            "country_code": "US",
            "telephone_number": "602-778-0900",
            "fax_number": "602-667-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN-DELONEY",
        "first_name": "MAKKEDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKKEDA",
            "last_name": "RUBIN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.