Active NPI
Lynn P Mathieu, CTRS
- Recreation Therapist
- Houston, TX
National Provider Identifier
1093516817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 84105
- Practice address
- 1475 W Gray St
Houston, TX 77019-5900 - Phone
- (281) 925-7607
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 84105 | PA | Primary |
Addresses
Primary practice location
1475 W Gray St
Houston, TX 77019-5900
Mailing address
9901 Sharpcrest St Apt M1
Houston, TX 77036-5965
Phone (281) 796-5295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84105 | PA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1093516817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 SHARPCREST ST APT M1",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770365965",
"telephone_number": "281-796-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 W GRAY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770195900",
"telephone_number": "281-925-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU",
"first_name": "LYNN",
"middle_name": "P",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "PA",
"license": "84105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.