Individual provider Active NPI

Makenna Sallade

  • Occupational Therapist
  • Buckeye, AZ
National Provider Identifier
1669140539
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10097 Issued in AZ
Practice address
865 S Watson Rd Ste 118
Buckeye, AZ 85326-3468
Phone
(623) 212-1040
Fax
(623) 212-1041
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10097 AZ Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

865 S Watson Rd Ste 118
Buckeye, AZ 85326-3468

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204004605 AZ Practitioner - Occupational Therapist in Private Practice 0446743678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

865 S Watson Rd
Suite 118
Buckeye, AZ 85326-3468
Phone (623) 212-1040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10097AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy and Hand Rehab, PC CurrentSince Sep 22, 2025 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Sep 22, 2025 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Occupational Therapist Current Accepting new patients
Spooner Physical Therapy & Hand Rehab PC Past Accepting new patients

Locations

865 S Watson Rd
Ste 118
Buckeye, AZ 85326
Phone (623) 212-1040

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1669140539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S WATSON RD STE 118",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263468",
            "telephone_number": "623-212-1040",
            "fax_number": "623-212-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLADE",
        "first_name": "MAKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "10097",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.