Active NPI
Hannah Marie Mathieu, OTD, OTR/L
- Occupational Therapist
- Henderson, KY
National Provider Identifier
1124857362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 293899
- Practice address
- 1305 N Elm St
Henderson, KY 42420-2783 - Phone
- (270) 827-7700
- NPI assigned
- Jul 27, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 293899 | KY | Primary |
Addresses
Primary practice location
1305 N Elm St
Henderson, KY 42420-2783
Mailing address
1314 Collier Dr
Evansville, IN 47725-6411
Phone (260) 444-9778
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 |
|---|---|---|---|
| 293899 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1124857362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 COLLIER DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477256411",
"telephone_number": "260-444-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N ELM ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202783",
"telephone_number": "270-827-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU",
"first_name": "HANNAH",
"middle_name": "MARIE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "293899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.