Active NPI
Rebecca Jean Mathison, MSOT
- Pediatric Occupational Therapist
- Torrance, CA
National Provider Identifier
1477124451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 23908
- Practice address
- 21515 Hawthorne Blvd Ste G100
Torrance, CA 90503-6501 - Phone
- (424) 571-2618
- NPI assigned
- Jul 9, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 14263 | NC | |
| Pediatric Occupational Therapist | 225XP0200X | 23908 | CA | Primary |
Addresses
Primary practice location
21515 Hawthorne Blvd Ste G100
Torrance, CA 90503-6501
Mailing address
1025 2ND St Apt 11
Santa Monica, CA 90403-3643
Phone (828) 460-4787
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14263 | NC | MD | Physical Therapist |
| 23908 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Speech and Reading Center | Past | Accepting new patients | |
| Cortica Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
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.
-
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674950400000",
"number": "1477124451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 2ND ST APT 11",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904033643",
"telephone_number": "828-460-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21515 HAWTHORNE BLVD STE G100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036501",
"telephone_number": "424-571-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHISON",
"first_name": "REBECCA",
"middle_name": "JEAN",
"credential": "MSOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2023-01-29",
"certification_date": "2023-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14263",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "23908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.