Individual provider Active NPI

Chelsey Renee Mattingly

  • Occupational Therapist
  • Reno, NV
National Provider Identifier
1114457348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16-0766 Issued in NV
Practice address
3700 Grant Dr
Reno, NV 89509-5474
Phone
(775) 829-4700
Fax
(775) 829-4710
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 16-0766 NV Primary

Addresses

Primary practice location

3700 Grant Dr
Reno, NV 89509-5474

Mailing address

3700 Grant Dr
Reno, NV 89509-5474
Phone (775) 829-4700

Other identifiers 1

IdentifierTypeStateIssuer
16-0766OtherNVNEVADA OCCUPATIONAL LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
16-0766NVMDOccupational Therapist
21530CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Inc. PastSince Jul 24, 2022 Accepting new patients
The Continuum PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114457348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095474",
            "telephone_number": "775-829-4700",
            "fax_number": "775-829-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095474",
            "telephone_number": "775-829-4700",
            "fax_number": "775-829-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "CHELSEY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "16-0766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA OCCUPATIONAL LICENSE",
            "identifier": "16-0766",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.