Keith S. Mako, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

188453 Issued in AK

Practice address

285 Beiser Blvd Ste 202
Dover, DE 19904-7804

Phone

(302) 747-5995

Fax

(302) 244-0144

NPI assigned

Feb 23, 2022

Last updated

Dec 22, 2023By the provider in NPPES

Sex

Male

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 DE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.05 of 100Reported as group

Quality

89.12

Improvement activities

40

Cost

73.46

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  DE, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • King of Prussia, PA
  • NPI 1750194460

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1922754415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BEISER BLVD STE 202",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047804",
            "telephone_number": "302-747-5995",
            "fax_number": "302-244-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Airport Heights Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995082986",
            "country_code": "US",
            "telephone_number": "907-562-2118",
            "fax_number": "907-562-2128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKO",
        "first_name": "KEITH",
        "middle_name": "S.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "188453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "188453",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mamoon Mahmoud, M.D
• Jadea Mahoney
• Jenna Mahoney, LPCMH, NCC
• Ryan Majchrzak, PHARMD
• Major Care Inc
• Maksam Healthcare LLC (Maksam Health & Wellness Center)
• Threshia Malcolm, M.D.
• Bhavya Shri Malkar, M.D.
• Anne Malkoff, PHD
• Cynthia Lee Mallee, NURSE PRACTITIONER

• Occupational Therapist in Dover, DE
• Providers in Dover, DE by specialty
• Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.