Individual provider Active NPI

Kaila Mattera, OTD, OTR/L

  • Occupational Therapist
  • Greeley, CO
National Provider Identifier
1457159873
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0008759 Issued in CO
Practice address
1025 9TH Ave
Greeley, CO 80631-4039
Phone
(805) 336-6770
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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.0008759 CO Primary

Addresses

Primary practice location

1025 9TH Ave
Greeley, CO 80631-4039

Mailing address

8200 W 20TH St Apt J300
Greeley, CO 80634-8493
Phone (805) 336-6770

Other practice location 1

1931 65th Ave Ste C
Greeley, CO 80634-7946
Phone (805) 336-6770

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

LicenseStateTypeSpecialty
OT.0008759COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Noco Pediatric OT, LLC Occupational Therapist Past Accepting new patients
Noco Pediatric OT, LLC Occupational Therapist Past Accepting new patients
Noco Pediatric OT, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1457159873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W 20TH ST APT J300",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348493",
            "telephone_number": "805-336-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 9TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314039",
            "telephone_number": "805-336-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 65th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806347946",
            "country_code": "US",
            "telephone_number": "805-336-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTERA",
        "first_name": "KAILA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0008759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.