Active NPI
Macy Lee Mattheyer, COTA/L
- Occupational Therapy Assistant
- Hutchinson, KS
National Provider Identifier
1356980528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 18-01619
- Practice address
- 1520 N Plum St
Hutchinson, KS 67501-5854 - Phone
- (620) 615-4000
- NPI assigned
- Jan 5, 2020
- Last updated
- May 11, 2023
- 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 Therapy Assistant | 224Z00000X | 18-01619 | KS | Primary |
Addresses
Primary practice location
1520 N Plum St
Hutchinson, KS 67501-5854
Mailing address
2712 Canal Blvd Apt 24
Hays, KS 67601-1752
Phone (785) 769-3263
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 |
|---|---|---|---|
| 18-01619 | KS | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1356980528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 CANAL BLVD APT 24",
"city": "HAYS",
"state": "KS",
"postal_code": "676011752",
"telephone_number": "785-769-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 N PLUM ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015854",
"telephone_number": "620-615-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEYER",
"first_name": "MACY",
"middle_name": "LEE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-05",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "18-01619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.