Amanda Lynn Mattucci

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

800 Kensington Ave Ste 100
Missoula, MT 59801-5670

Phone

(406) 223-6858

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Root Therapy and Wellness

  • Multi-Specialty Clinic/Center
  • Bozeman, MT
  • NPI 1194296897

  Occupational Therapist

  Medicare reassignment NPD
• Spinerx Scoliosis and Spine Rehab, LLC

  • Physical Therapist
  • Bozeman, MT
  • NPI 1447938964
  NPD (past)

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1437789153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KENSINGTON AVE STE 100",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENSINGTON AVE STE 100",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015670",
            "telephone_number": "406-223-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTUCCI",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Mato, PSY.D.
• Carmelita Ann Matt, MSW, SWLC
• Matthew D Munding, MD, PLLC
• Klare Matthew, LAT, ATC
• Lara Mattson Radle, L.C.P.C.
• Matz Family Chiropractic, P.C.
• Keesha Matz, DPT
• Linda M Matz, D.C.
• Samuel Robert Matz, MD
• Steven Scott Matz, D.C.

• Occupational Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.