Jerril Mathews, OTR, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118821 Issued in TX

Practice address

2101 W Northgate Dr
Irving, TX 75062

Phone

(972) 255-4460

NPI assigned

Feb 5, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1043775992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 CORAL CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750607343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W NORTHGATE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-255-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Constitution Blvd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063100",
            "country_code": "US",
            "telephone_number": "831-755-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "JERRIL",
        "credential": "OTR, MOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19232",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lejoy Mathew, DPT
• Renjan Roy Mathew, PH.D.
• Shauna Mathew, FNP
• Smitha Mathew
• Stanley Mathew, FNP-C
• Sunil Mathews, M.D.
• Alize M Mathis, BEHAVIORAL HEALTH
• Mark Mathis Jr., DC
• Janja Matic, MD
• Pamela A. Matlock, CRNA

• Occupational Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.