Individual provider Active NPI

Makenzie Hurley, OTR/L

  • Occupational Therapist
  • Rochester, MN
National Provider Identifier
1447985122
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106883 Issued in MN
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

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
106883MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Opportunities Foundation CurrentSince Aug 31, 2022 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.

Verify at the official NPI Registry.