Katijo Makin, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10895 Issued in OH

Practice address

3570 Executive Dr
Suite 208
Uniontown, OH 44685-6713

Phone

(330) 595-9059

Fax

(330) 595-1525

NPI assigned

Aug 16, 2015

Last updated

Jul 9, 2021By the provider in NPPES

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

Other names 1

• Katijo Colbert Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Speech & Swallowing Partners LLC

  dba Innovative Therapy Center

  • Speech-Language Pathologist
  • Uniontown, OH
  • NPI 1588027866
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1538535349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR STE 111",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858712",
            "telephone_number": "330-595-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR",
            "address_2": "SUITE 208",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856713",
            "telephone_number": "330-595-9059",
            "fax_number": "330-595-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIN",
        "first_name": "KATIJO",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "10895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIJO",
            "last_name": "COLBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marc Lord
• LRJT Investments LLC (Ellie Mental Health)
• David P. Lubinsky, D.D.S.
• Helen Jean Macmichael, L.P.N.
• Mohit S Mahalan, MD
• Alexsandra M Mamonis, MD
• Mark V Coberly (Village Green Pharmacy)
• Cathy Anne Marshall, LPN
• Jennifer Maurer, LPCC
• Tracy M Maurer, CNP

• Speech-Language Pathologist in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.