Active NPI
Elizabeth Matias, OTR
- Occupational Therapist
- Rutherford, NJ
National Provider Identifier
1467022517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00294900
- Practice address
- 139 Springfield Ave
Rutherford, NJ 07070-1642 - Phone
- (201) 788-4560
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 46TR00294900 | NJ | Primary |
Addresses
Primary practice location
139 Springfield Ave
Rutherford, NJ 07070-1642
Mailing address
139 Springfield Ave
Rutherford, NJ 07070-1642
Phone (201) 788-4560
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Soap | Health Information Exchange (HIE) | |
| SOAP URL | Time | Direct |
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 |
|---|---|---|---|
| 46TR00294900 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1467022517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SPRINGFIELD AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701642",
"telephone_number": "201-788-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SPRINGFIELD AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701642",
"telephone_number": "201-788-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "ELIZABETH",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00294900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Soap",
"affiliation": "N",
"endpointDescription": "Soap",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Soap notes",
"address_1": "139 Springfield Ave",
"city": "Rutherford",
"state": "NJ",
"country_code": "US",
"postal_code": "070701642",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Time",
"affiliation": "N",
"endpointDescription": "Session description",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "139 Springfield Ave",
"city": "Rutherford",
"state": "NJ",
"country_code": "US",
"postal_code": "070701642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.