Makayla Stamp, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2628 Issued in NE

Practice address

920 E 56TH St Ste a
Kearney, NE 68847-8628

Phone

(308) 233-5060

Fax

(308) 233-5062

NPI assigned

Oct 27, 2021

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1851055701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 56TH ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478628",
            "telephone_number": "308-233-5060",
            "fax_number": "308-233-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 56TH ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478628",
            "telephone_number": "308-233-5060",
            "fax_number": "308-233-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMP",
        "first_name": "MAKAYLA",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "2628",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• State of Nebraska Dept of Admin Services (Central Nebraska Veterans Home)

• Occupational Therapist in Kearney, NE
• Providers in Kearney, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.