Active NPI
Brenda Mattson, PT BOCO
- Orthotist
- Falmouth, ME
National Provider Identifier
1417967415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- C15212
- Practice address
- 170 US Route One
Suite 180
Falmouth, ME 04105 - Phone
- (207) 781-5369
- Fax
- (207) 781-5862
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C15212 | MD | Primary |
| Physical Therapist | 225100000X | PT0512 | ME |
Addresses
Primary practice location
170 US Route One
Suite 180
Falmouth, ME 04105
Mailing address
19 Phillips Road
Falmouth, ME 04105
Phone (207) 781-5369
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M23095 | Other | CIGNA | |
| 2434074 | Other | AETNA DME | |
| M230950 | Other | CIGNA DME | |
| 1042321 | Other | AETNA | |
| 018251 | Other | ANTHEM BCBS | |
| 37938 | Other | HARVARD PILGRIM |
Other names 1
- Brenda Mattson Harfield
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 |
|---|---|---|---|
| C15212 | MD | MD | Orthotist |
| PT0512 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physical Therapy Connection | Orthotist | Past | Accepting new patients |
| Foundations Pediatrics, PLLC | Orthotist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthotist
- Falmouth, ME
- NPI 1649280637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417967415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PHILLIPS ROAD",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "04105",
"telephone_number": "207-781-5369",
"fax_number": "207-781-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 US ROUTE ONE",
"address_2": "SUITE 180",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "04105",
"telephone_number": "207-781-5369",
"fax_number": "207-781-5862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"credential": "PT BOCO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "MD",
"license": "C15212",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT0512",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M23095",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA DME",
"identifier": "2434074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA DME",
"identifier": "M230950",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1042321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "018251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "37938",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "HARFIELD",
"middle_name": "MATTSON",
"credential": "PT BOCO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.