Active NPI
Makena Datz, DPT
- Physical Therapist
- Meridian, ID
National Provider Identifier
1457263790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7981723
- Practice address
- 1649 E Pine Ave
Meridian, ID 83642-8135 - Phone
- (208) 917-2660
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7981723 | ID | Primary |
Addresses
Primary practice location
1649 E Pine Ave
Meridian, ID 83642-8135
Mailing address
1649 E Pine Ave
Meridian, ID 83642-8135
Phone (208) 917-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1457263790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 E PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428135",
"telephone_number": "208-917-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 E PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428135",
"telephone_number": "208-917-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATZ",
"first_name": "MAKENA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "7981723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.