Active NPI
Makenzie Hurley, OTR/L
- Occupational Therapist
- Rochester, MN
National Provider Identifier
1447985122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106883
- Practice address
- 3380 Northern Valley PL NE
Rochester, MN 55906-3954 - Phone
- (507) 259-1026
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106883 | MN | Primary |
Addresses
Primary practice location
3380 Northern Valley PL NE
Rochester, MN 55906-3954
Mailing address
10127 County Road 10 SE
Chatfield, MN 55923-3530
Phone (507) 259-1026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221026002509 | MN | Practitioner - Occupational Therapist in Private Practice | 3971979337 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106883 | MN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Opportunities Foundation | Current | Accepting new patients |
Locations
5860 Baker Rd
Minnetonka, MN 55345
Phone (612) 759-2697
5868 Baker Rd
Minnetonka, MN 55345
Phone (612) 245-5933
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": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1447985122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10127 COUNTY ROAD 10 SE",
"city": "CHATFIELD",
"state": "MN",
"postal_code": "559233530",
"telephone_number": "507-259-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 NORTHERN VALLEY PL NE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559063954",
"telephone_number": "507-259-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "MAKENZIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.