Makayla Lynn Duncan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA013752 Issued in OH

Practice address

8875 Green Meadows Dr
Lewis Center, OH 43035

Phone

(740) 513-2270

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Makayla Lynn Trebella Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1760223879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 N COUNTY LINE RD",
            "city": "CROTON",
            "state": "OH",
            "postal_code": "430139712",
            "telephone_number": "330-883-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 GREEN MEADOWS DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "740-513-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MAKAYLA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA013752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKAYLA",
            "last_name": "TREBELLA",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Drayer Physical Therapy Northern Ohio LLC
• Sarah P Dufour, SLP
• Dugas Dental, Inc (Dugas Dental - Family and Cosmetic Dentistry)
• Justin Dugas, D.D.S.
• Justin Lewis Dumm, PTA
• Erin Dutt, NP
• Madison Eby
• Theresa Marie Eddy
• Kaitlin Effingham, LSW
• Regan Marie Elger, OTR/L

• Physical Therapy Assistant in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.