Makensie Rae Dudley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6597 Issued in TN

Practice address

3180 Professional PLZ Ste 101
Germantown, TN 38138-1534

Phone

(901) 328-2110

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

Yes

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 TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Tennessee, HSC, College of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• H2 Rehabilitation Extension Services LLC

  • Physical Therapist
  • Collierville, TN
  • NPI 1841180155
  Medicare reassignment
• JH & Associates, LLC

  • Speech-Language Pathologist
  • Germantown, TN
  • NPI 1972808301

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1407468127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 GROVE BROOK CT UNIT 14-101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383305",
            "telephone_number": "731-441-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PROFESSIONAL PLZ STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381534",
            "telephone_number": "901-328-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MAKENSIE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Downen, OTR/L
• Jenny L Doza, PT
• Dr. Richard Alsobrook Vision Center PC
• Erin Dragutsky, RD, LDN
• Michael S Dragutsky, M.D.
• Douglas B Dugard, DDS
• Vijaya L. Duggirala, M.D.
• Amanda Dulaney, FNP-C
• Betty Jo Dulaney, M.D.
• Nikki Michelle Dunavan, BSN,RN

• Occupational Therapist in Germantown, TN
• Providers in Germantown, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.