Makona Therapy Services, LLC
NPI 1013592575ActiveOrganization· Speech-Language Pathologist· Kimberly, ID
Speech-Language Pathologist in Kimberly, Idaho, registered in NPPES in March 2021. The authorized official on file is Selina Puente, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013592575 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2021 |
| Last updated in NPPES | Aug 28, 2025 |
| Certified by provider | Aug 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Speech-Language Pathologist providers in Kimberly
- 1144011941
- 1861183394
- 1861064651
- 1134645013
- 1114239803
- 1538882592
- 1346896149
- 1386269983