Mikaela Lynn Mastromatto, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC017100 Issued in PA

Practice address

1615 Boot Rd
West Chester, PA 19380

Phone

(484) 886-4089

NPI assigned

Sep 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1245846062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CEDAR HILL RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021411",
            "telephone_number": "267-818-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BOOT RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "484-886-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROMATTO",
        "first_name": "MIKAELA",
        "middle_name": "LYNN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Masciulli
• Amy Lynn Mason, LCSW
• Kimberly Lynn Mason, MA, NCC
• Meghan Massaro, RD LDN
• Leslie Masson
• Stephanie Frances Mastrota, DMD
• Akash Mathew, PA-C
• Steven A. Mathews I, D.C.
• Matt Shollenberger, PH.D, PC
• Matthew J. Mauriello, Ma, P.C.

• Occupational Therapist in West Chester, PA
• Providers in West Chester, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.