Jenna Marie Matteson Laabs, MAOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104672 Issued in MN

Practice address

3111 124TH Ave NW Ste 123
Coon Rapids, MN 55433-4573

Phone

(763) 236-7337

NPI assigned

Sep 21, 2018

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

Other names 1

• Jenna Marie Matteson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)
• Centennial School District

  • Local Education Agency (LEA)
  • Circle Pines, MN
  • NPI 1588727143
  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1477037752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 ELM ST",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141269",
            "telephone_number": "763-792-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 124TH AVE NW STE 123",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334573",
            "telephone_number": "763-236-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4707 North Rd",
            "address_purpose": "LOCATION",
            "city": "Circle Pines",
            "state": "MN",
            "postal_code": "550141545",
            "country_code": "US",
            "telephone_number": "763-792-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTESON LAABS",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "MAOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MATTESON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fediliay Massaquoi
• David J Mathews, LICSW
• Michele Marie Mathews, RDN
• Tyler Daniel Mathiason, PT, DPT
• Angela Mathison, NP-C
• Steven Thomas Maurer, PH.D.
• Michael N Maurice, MD
• Vanessa Mauroy, M.S. CCC-SLP
• Laura Mayer, MD
• Steffi Maynor

• Occupational Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.