Toby Thomas Mathis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-245063 Issued in AL

Practice address

200 Vestavia Pkwy Ste 2400
Vestavia, AL 35216-3797

Phone

(205) 490-3931

NPI assigned

Jan 13, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Codi, Inc.

  • Community/Behavioral Health Agency
  • Palmer, AK
  • NPI 1205267473
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1548859531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VESTAVIA PKWY STE 2400",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163797",
            "telephone_number": "205-490-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VESTAVIA PKWY STE 2400",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163797",
            "telephone_number": "205-490-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16941 N Eagle River Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777824",
            "country_code": "US",
            "telephone_number": "907-726-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11921 E Palmer Wasilla Hwy",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996458833",
            "country_code": "US",
            "telephone_number": "907-745-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "TOBY",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-22-245063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Alexander Martin, B.S.
• Hollie Mason
• Kelley Massengale, LCSW-BACS
• Kadra Mathews
• Olivia Mathis
• Amanda Carol Mavrakos, M.S., CCC-SLP
• Elizabeth Pate Mayer
• Morgan Mayfield
• James Bernard McCabe Jr., RPH
• Rosa McCall

• Behavior Technician in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.