Matrescence Method LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MATRESCENCE METHOD LLC

Practice address

205 Cabeza St
Saint Augustine, FL 32080-4524

Phone

(479) 372-2995

NPI assigned

Jul 13, 2026

Organization subpart

No

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

Authorized official

Name

Taylor Lee-Wambolt, OTD, OTR/LNPI 1700440120

Title

Occupational Therapist

Phone

(479) 372-2995

Specialties & licenses 1

Addresses

Practitioners 1

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

• Taylor Lee-Wambolt

  • Occupational Therapist
  • Saint Augustine, FL
  • NPI 1700440120
  NPD (past) Authorized official

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1396664595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CABEZA ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804524",
            "telephone_number": "479-372-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CABEZA ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804524",
            "telephone_number": "479-372-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRESCENCE METHOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "LEE-WAMBOLT",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "479-372-2995",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia K Mathena
• Alma Mather, APRN
• Matilda Mathias
• Jacqueline Leigh (Preferred) Mathis, REGISTERED INTERN
• Randall T Mathis, PA-C
• Matrix Medical LLC
• Megan Elizabeth Matullo
• Maureen Cohen, Licensed Mental Health Counselor
• Arthur Nephin Maxon, M.D.
• Kimora Maxwell

• Occupational Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.