Individual provider Active NPI

Mikayla Rae Haukenfrers, MOT/R

  • Occupational Therapist
  • Peoria, AZ
National Provider Identifier
1538916705
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-009610 Issued in AZ
Practice address
7638 W Artemisa Ave
Peoria, AZ 85383-1922
Phone
(480) 999-3837
NPI assigned
May 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 OTH-009610 AZ Primary

Addresses

Primary practice location

7638 W Artemisa Ave
Peoria, AZ 85383-1922

Mailing address

7638 W Artemisa Ave
Peoria, AZ 85383-1922
Phone (480) 246-6281

Other practice location 1

21630 N 19th Ave
Phoenix, AZ 85027-2719
Phone (602) 875-5616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001304 AZ Practitioner - Occupational Therapist in Private Practice 7810431194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7638 W Artemisa Ave
Peoria, AZ 85383-1922
Phone (480) 526-1065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-009610AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare PLLC Occupational Therapist CurrentSince Aug 4, 2025 Accepting new patients
Allone Healthcare LLC CurrentSince Oct 27, 2024 Accepting new patients
Firebird Healthcare Services LLC CurrentSince Oct 1, 2024 Accepting new patients
Petkov Bodywork Therapy, LLC CurrentSince Jul 25, 2024 Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

21630 N 19th Ave
Phoenix, AZ 85027
Phone (415) 977-6751

Organizations & group practices 4

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": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1538916705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 W ARTEMISA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831922",
            "telephone_number": "480-246-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 W ARTEMISA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831922",
            "telephone_number": "480-999-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21630 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272719",
            "country_code": "US",
            "telephone_number": "602-875-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUKENFRERS",
        "first_name": "MIKAYLA",
        "middle_name": "RAE",
        "credential": "MOT/R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.