Makena De Krafft

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01019700 Issued in NJ

Practice address

204 Ark Rd Ste 105C
Mount Laurel, NJ 08054-3190

Phone

(856) 492-1355

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Speech Language Associates LLC

  • Speech-Language Pathologist
  • Mount Laurel, NJ
  • NPI 1760916969

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1508537317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CATTAIL DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543087",
            "telephone_number": "856-979-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK RD STE 105C",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543190",
            "telephone_number": "856-492-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE KRAFFT",
        "first_name": "MAKENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01019700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Davidson, PA-C
• Erinn Kathryn Davies
• Daniel Jason Davis, CDCA
• Karley Elizabeth Davis
• Lauren Davis, OT
• Melissa Deantonio, P.T.
• Dear Jaffa LLC
• Sienna Marie Decaria, NCC, LAC
• Susan M Decelle, OTR/L
• Kelly Decker, M.A., BCBA

• Occupational Therapist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.