Active NPI
Makenna J Carpenter, PT
- Physical Therapist
- Hudson, WI
National Provider Identifier
1659208536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17852-24
- Practice address
- 2651 Hillcrest Dr Ste 101
Hudson, WI 54016-9919 - Phone
- (800) 423-1088
- NPI assigned
- May 6, 2026
- Last updated
- Jun 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17852-24 | WI | Primary |
| Physical Therapist | 225100000X | 14367 | MN |
Addresses
Primary practice location
2651 Hillcrest Dr Ste 101
Hudson, WI 54016-9919
Mailing address
3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600
Other practice location 1
4100 Minnesota Dr
Edina, MN 55435-5417
Phone (952) 456-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611002641 | MN | Practitioner - Physical Therapist in Private Practice | 7810469731 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1046 Overlook Dr
Chaska, MN 55318-9716
3500 American Blvd W
Suite 300
Bloomington, MN 55431-4442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14367 | MN | MD | Physical Therapist |
| 17852-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1659208536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 AMERICAN BLVD W STE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314442",
"telephone_number": "952-512-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 HILLCREST DR STE 101",
"city": "HUDSON",
"state": "WI",
"postal_code": "540169919",
"telephone_number": "800-423-1088"
}
],
"practiceLocations": [
{
"address_1": "4100 Minnesota Dr",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554355417",
"country_code": "US",
"telephone_number": "952-456-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "MAKENNA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17852-24",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "14367",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.