Active NPI
Ayra Matias, MS OTL
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1154774552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1226
- Practice address
- 1232 Julian Bengochea
Urbanizacion San Martin Calle
San Juan, PR 00924 - Phone
- (787) 200-0567
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 1226 | PR | Primary |
Addresses
Primary practice location
1232 Julian Bengochea
Urbanizacion San Martin Calle
San Juan, PR 00924
Mailing address
1232 Calle Julian Bengochea
Urbanizacion San Martin
San Juan, PR 00924
Phone (787) 200-0567
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1226 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Community Health Services | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- San Juan, PR
- NPI 1275989253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1154774552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 CALLE JULIAN BENGOCHEA",
"address_2": "URBANIZACION SAN MARTIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-200-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 JULIAN BENGOCHEA",
"address_2": "URBANIZACION SAN MARTIN CALLE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-200-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "AYRA",
"credential": "MS OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.