Making Waves Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

MAKING WAVES PEDIATRIC THERAPY LLC

Practice address

14482 Tupelo Dr
West Olive, MI 49460-8621

Phone

(269) 779-1380

NPI assigned

Dec 2, 2024

Last updated

Mar 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zoey Dekker, OTRLNPI 1972086379

Title

Occupational Therapist

Phone

(269) 779-1380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zoey Marie Dekker, MS OTR/L

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
  • NPI 1972086379

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1881410207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14482 TUPELO DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494608621",
            "telephone_number": "269-779-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14482 TUPELO DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494608621",
            "telephone_number": "269-779-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING WAVES PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "DEKKER",
        "authorized_official_first_name": "ZOEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "269-779-1380",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack R. Roossien Jr., M.D.P.C.
• Jay Emerson Kellaway, M.D.
• Laura Ann Koster, RN
• Living Hope Home Care LLC
• Lydias House
• Mercy Health Partners
• Ronald Dean Mulder, M.D.
• Jessica Rose Phelps
• Physiotherapy Associates Inc
• Pine Ridge Adult Care Home, LLC (Pine Ridge Assisted Living Facility)

• Pediatric Occupational Therapist in West Olive, MI
• Providers in West Olive, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.