Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Makenzi Gordon, COTA

Individual provider Occupational Therapy Assistant · NPI 1972938207

Makenzi Gordon, COTA is an Occupational Therapy Assistant in Wind Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

8828 Oriole Ln
Wind Lake, WI 53185-5515
Phone: (920) 645-5886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 502427 (WI)

Record details

NPI number1972938207
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 8, 2016

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