KATIJO MAKIN (MA) – Speech-Language Pathologist, NPI 1538535349

KATIJO MAKIN (MA) is a healthcare provider. based in Hartville, Ohio. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA. They hold a License No. 10895 (OH). The NPI Number for KATIJO MAKIN (MA) is 1538535349

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATIJO MAKIN (MA)
NPI
1538535349
Phone
Not provided
Address
3235 ENSENADA ST NE
Enumeration Date
16 August 2015
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305959059
Graduation Year
2012 (14 years ago)
PAC ID
5092004804
Group Practice PAC ID
4183913999
Professional Enrollment ID
I20160518001756
Address ID
OH446858078UN11330NWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

312 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OH

Provider Addresses for KATIJO MAKIN (MA)

  • 3235 ENSENADA ST NE

    HARTVILLE, OH 446329109

    Phone:

    Type: Mailing

  • 3570 EXECUTIVE DR STE 111

    UNIONTOWN, OH 446858712

    Phone: (330) 595-9059

    Type: Mailing

  • 3570 EXECUTIVE DR

    SUITE 208

    UNIONTOWN, OH 446856713

    Phone: (330) 595-9059

    Fax: (330) 595-1525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160518001756IQualified Speech Language PathologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44632)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183913999View full group profile
NameSpecialtyState
Mental Health CounselorOH
Qualified Speech Language PathologistOH
Qualified Speech Language PathologistOH

Reviews

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Frequently asked questions

What federal number belongs to KATIJO MAKIN (MA)?
The federal identifier for KATIJO MAKIN (MA) is NPI 1538535349.
Is KATIJO MAKIN (MA) active in the national directory?
KATIJO MAKIN (MA)'s public NPI profile is in an active state.
What field does KATIJO MAKIN (MA) work in?
You can think of KATIJO MAKIN (MA) as practicing within Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Does KATIJO MAKIN (MA) practice in Ohio?
You will see Hartville, Ohio on file for KATIJO MAKIN (MA) alongside any extra practice locations.
How can I contact KATIJO MAKIN (MA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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