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MUCHANETA MADUKE OTR, CHT
NPI 1619099090
Occupational Therapist - Hand in La Mesa, CA

Active since April 04, 2007
5360 JACKSON DR STE 110, LA MESA, CA 91942(619) 667-7000(619) 667-4315 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2020, Aug 20, 2020, Aug 7, 2020 (3 updates tracked since 2020).

About Muchaneta Maduke Otr, Cht NPPES

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

MUCHANETA MADUKE OTR, CHT (NPI 1619099090) is an individual hand provider in La Mesa, California, licensed in California (4565) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1619099090
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameMUCHANETA MADUKECredential: OTR, CHT
Location Address5360 JACKSON DR STE 110La Mesa, CA 91942-3012
Mailing Address5360 Jackson Dr Ste 110La Mesa, CA 91942-3012 · (619) 667-7000
Phone(619) 667-7000
Fax(619) 667-4315
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateSeptember 8, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
✔ NPI 1619099090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in CA · 4565
5360 JACKSON DR STE 110, La Mesa, CA 91942
Open in Google Maps ↗

Other Identifiers 1

Other1023103330CA · Npi Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Muchaneta Maduke Otr, Cht is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Muchaneta Maduke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Handland Occupational Therapy PC
8.2 mi
Hand
7540 METROPOLITAN DR STE 108
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1750847950 (619) 398-3455

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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC STAFFORD PRANTE PT
Physical Therapist
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (619) 667-7000
ANNGELA PALACIO
Occupational Therapist
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (858) 755-5200
ANNA SOPHIA LOVE OT
Occupational Therapist
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (858) 755-5200
MS. TIFFANY NANA HENZE MSOT, OTR/L
Occupational Therapist (Hand)
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (858) 755-5200
MAYTHAN THERAPY SOLUTIONS
Occupational Therapist
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (626) 393-7709
LINDSEY GLASHEEN
Physical Therapist
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (858) 755-5200
JORDAN BOEHNING
Physical Therapist
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (858) 755-5200
KAYLEE ARTHUR
Physical Therapist
5360 JACKSON DR STE 110
LA MESA, CA 91942
San Diego County (858) 755-5200

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 Muchaneta Maduke's NPI number?

The NPI number for Muchaneta Maduke is 1619099090. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Muchaneta Maduke located?

Muchaneta Maduke practices at 5360 Jackson Dr Ste 110, La Mesa, CA 91942. The listed phone number is (619) 667-7000.

What is Muchaneta Maduke's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Muchaneta Maduke enrolled in Medicare?

Yes. Muchaneta Maduke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Muchaneta Maduke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muchaneta Maduke reassigns Medicare benefits to Handland Occupational Therapy PC (San Diego, CA). The 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 Muchaneta Maduke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Muchaneta Maduke was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.