Individual provider Active NPI

Mylee Matos, OTR/L

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1528523917
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19705 Issued in FL
Practice address
1334 Iralou Rd
Jacksonville, FL 32254-2224
Phone
(904) 753-5398
NPI assigned
Feb 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 OT19705 FL Primary

Addresses

Primary practice location

1334 Iralou Rd
Jacksonville, FL 32254-2224

Mailing address

1334 Iralou Rd
Jacksonville, FL 32254-2224
Phone (904) 753-5398

Other practice location 1

7749 Normandy Blvd Ste 147
Jacksonville, FL 32221-7658
Phone (904) 786-5576

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
OT19705FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Play Without Limits, LLC Occupational Therapist CurrentSince Aug 16, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1528523917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 IRALOU RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322542224",
            "telephone_number": "904-753-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 IRALOU RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322542224",
            "telephone_number": "904-753-5398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7749 Normandy Blvd Ste 147",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322217658",
            "country_code": "US",
            "telephone_number": "904-786-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS",
        "first_name": "MYLEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.