Active NPI
Ryan Mattes, OTR
- Occupational Therapist
- Littleton, CO
National Provider Identifier
1407574197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0005822
- Practice address
- 5555 S Elati St
Littleton, CO 80120-1624 - Phone
- (630) 386-1306
- NPI assigned
- Aug 18, 2022
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225X00000X | 0005822 | CO | Primary |
Addresses
Primary practice location
5555 S Elati St
Littleton, CO 80120-1624
Mailing address
3075 W Radcliff Dr
Englewood, CO 80110-5337
Phone (630) 386-1306
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cherrelyn |
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 |
|---|---|---|---|
| 0005822 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1407574197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 W RADCLIFF DR",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801105337",
"telephone_number": "630-386-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 S ELATI ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801201624",
"telephone_number": "630-386-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTES",
"first_name": "RYAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0005822",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cherrelyn",
"affiliation": "N",
"address_1": "5555 S Elati St",
"city": "Littleton",
"state": "CO",
"country_code": "US",
"postal_code": "801201624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Littleton, CO
- Hannah Mathews, BACHELOR'S DEGREE
- Kathryn Marie Mathis, LPC, RPT
- Saloise Matkin, DDS, MA
- Rebecca L. Matlock, PH.D.
- Rebecca Marie Matson, LPC
- Breck Marie Matteson, RN BSN IBCLC
- Isabelle Matteucci
- Matthew C. Kenney Chiropractor, Inc. (New Body Chiropractic and Wellness Center)
- Steven G. Matthews, MS, RMT
- Mary Lee Matulis, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.