Serena Matthews Occupational Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00003730 Issued in WA

Legal business name

SERENA MATTHEWS OCCUPATIONAL THERAPY SERVICES LLC

Practice address

11287 Fieldstone LN NE
Bainbridge Island, WA 98110-4282

Phone

(206) 718-0795

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Serena B MatthewsNPI 1275731903

Title

Owner

Phone

(206) 718-0795

Specialties & licenses 1

Addresses

Other names 1

• Serena Matthews Occupational Therapy Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Serena B Matthews, OTR

  • Occupational Therapist
  • Bainbridge Island, WA
  • NPI 1275731903
  NPD Authorized official

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1255706982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11287 FIELDSTONE LN NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104282",
            "telephone_number": "206-718-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11287 FIELDSTONE LN NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104282",
            "telephone_number": "206-718-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA MATTHEWS OCCUPATIONAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-718-0795"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00003730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serena Matthews Occupational Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Colleen S. Scott, PTA
• Tracy Alan Scott, DMD
• Christina L Segan, L.M.P.
• McKinley T Self, DMD
• Abigail Selig
• Carol B Shakow, MSW LICSW
• Cameron Shaner
• Sharron San Martino Acupuncture, LLC
• Daniel Caleb Sheffield, DO
• Michelle Shellenberger, M.A., LMHC

• Occupational Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.