MAKONA THERAPY SERVICES, LLC
NPI 1013592575
Speech-Language Pathologist in Kimberly, ID

Active since March 16, 2021
113 MAIN STREET N, KIMBERLY, ID 83341(208) 421-9659(208) 904-3947 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2024, Apr 22, 2021, Mar 16, 2021 (3 updates tracked since 2021).

About Makona Therapy Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKONA THERAPY SERVICES, LLC (NPI 1013592575) is a healthcare organization registered as a speech-language pathologist in Kimberly, Idaho and active in the NPI registry since March 2021. The organization lists Selina Puente, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013592575
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameMAKONA THERAPY SERVICES, LLC
Location Address113 MAIN STREET NKimberly, ID 83341
Mailing Address225 Main St N Unit 182Kimberly, ID 83341-7008 · (208) 904-3500 · Fax (208) 904-3947
Fax(208) 904-3947
Organization SubpartNo
Authorized OfficialSelina PuenteOffice Manager · (208) 904-3500
Enumeration DateMarch 16, 2021
Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1013592575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
113 MAIN STREET N, Kimberly, ID 83341

Other Identifiers 1

MedicaidIDTPID015531ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makona Therapy Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Makona Therapy Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Speech Language Pathologist
NPI 1386269983
113 MAIN STREET
Kimberly, ID 83341
(208) 421-9659
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Makona Therapy Services, LLC's NPI number?

The NPI number for Makona Therapy Services, LLC is 1013592575. It was assigned to this organization in the NPPES registry on March 16, 2021.

Where is Makona Therapy Services, LLC located?

Makona Therapy Services, LLC is located at 113 Main Street N, Kimberly, ID 83341. The listed phone number is (208) 421-9659.

What is Makona Therapy Services, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Makona Therapy Services, LLC enrolled in Medicare?

Yes. Makona Therapy Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Makona Therapy Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Makona Therapy Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Makona Therapy Services, LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.