Individual provider Active NPI

Rachel Anna Matsoukas

  • Occupational Therapist
  • Wheat Ridge, CO
National Provider Identifier
1407358245
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005312 Issued in CO
Practice address
3000 Youngfield St Ste 163
Wheat Ridge, CO 80215-6550
Phone
(303) 233-9700
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0005312 CO Primary

Addresses

Primary practice location

3000 Youngfield St Ste 163
Wheat Ridge, CO 80215-6550

Mailing address

3000 Youngfield St Ste 163
Wheat Ridge, CO 80215-6550
Phone (303) 233-9700

Other practice location 1

12080 Bellaire Way
Thornton, CO 80241-3600
Phone (303) 450-2700

Other practice location 2

7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone (316) 838-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200206000265 CO Practitioner - Occupational Therapist in Private Practice 4486996717
I20210329002354 FL Practitioner - Occupational Therapist in Private Practice 4486996717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0005312COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Apr 1, 2023 Accepting new patients
West Florida Medical Center Clinic, PA CurrentSince Mar 29, 2021 Accepting new patients
North Florida Surgeons, PA CurrentSince Apr 1, 2023 Accepting new patients
Hand to Hand Therapy Clinic LLC Occupational Therapist CurrentSince Feb 18, 2020 Accepting new patients
Expert Medical Alliance of Colorado PastSince Feb 18, 2020 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

10005 W 17th Pl
Ste B
Lakewood, CO 80215
Phone (303) 233-9700

3000 Youngfield St
Ste 163
Wheat Ridge, CO 80215
Phone (303) 233-9700

73 Eglin Pkwy NE
Fort Walton Beach, FL 32548

5660 Gulf Breeze Pkwy
Ste 1A
Gulf Breeze, FL 32563
Phone (850) 607-3546

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

4012 N 9th Ave
Pensacola, FL 32503
Phone (850) 444-4777

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

Organizations & group practices 6

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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1407358245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 YOUNGFIELD ST STE 163",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802156550",
            "telephone_number": "303-233-9700",
            "fax_number": "303-233-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 YOUNGFIELD ST STE 163",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802156550",
            "telephone_number": "303-233-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12080 Bellaire Way",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802413600",
            "country_code": "US",
            "telephone_number": "303-450-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7550 W Village Cir Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672059364",
            "country_code": "US",
            "telephone_number": "316-838-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSOUKAS",
        "first_name": "RACHEL",
        "middle_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.