Andrea Mary Mattison, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

10362 Issued in MN

Practice address

2399 Ariel St #a
Saint Paul, MN 55108-2202

Phone

(651) 773-0354

NPI assigned

Oct 5, 2016

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services MN LLCGroup PAC ID 0941542591, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fox Rehabilitation Services MN LLC

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1356802862

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Children'S Theraplay, LLC

  • Pediatric Occupational Therapist
  • Maplewood, MN
  • NPI 1215104393
  Medicare reassignment
• Associated Speech and Language Specialists LLC

  • Speech-Language Pathologist
  • St Paul, MN
  • NPI 1881636223
  NPD (past)

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1497205108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST #A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082202",
            "telephone_number": "651-773-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST #A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082202",
            "telephone_number": "651-773-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "ANDREA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MN",
            "license": "10362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1629421482",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lentz Mattai
• Jennifer Kathleen Matthews, OTR
• Marina Matthys, DDS
• Amy Mattila
• Melanie L Mattingly, CRNA
• Michelle Christina Mattison, LMSW, LICSW
• Karen Matts, MSW, LICSW
• Louise Ann Mattson, M.D.
• Stephanie April Mattson, CPHT
• Rachel Matuseski, OTR

• Pediatric Physical Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pediatric Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.