Individual provider Active NPI

Mattie Lee Harrison, MSOT, OTR/L

  • Hand Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1326749789
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
9068 Issued in AZ
Practice address
437 W Thurber Rd Ste 2
Tucson, AZ 85705-6821
Phone
(520) 293-5252
Fax
(520) 293-5454
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 9068 AZ Primary

Addresses

Primary practice location

437 W Thurber Rd Ste 2
Tucson, AZ 85705-6821

Mailing address

4172 W Pyracantha Cir
Tucson, AZ 85741-1339
Phone (520) 400-0726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814002943 AZ Practitioner - Occupational Therapist in Private Practice 8022470616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalina Hand and Shoulder Therapy PCGroup PAC ID 2668489956, 3 clinicians

Practice addresses (Care Compare)

437 W Thurber Rd
Suite 2
Tucson, AZ 85705-6821
Phone (520) 400-0726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9068AZMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalina Hand and Shoulder Therapy, PC Hand CurrentSince Jul 19, 2023 Accepting new patients

Locations

437 W Thurber Rd
Ste 2
Tucson, AZ 85705
Phone (520) 293-5252

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1326749789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 W PYRACANTHA CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411339",
            "telephone_number": "520-400-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W THURBER RD STE 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056821",
            "telephone_number": "520-293-5252",
            "fax_number": "520-293-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MATTIE",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.