Mattiko Pediatric Therapies

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006062L Issued in PA

Legal business name

MATTIKO PEDIATRIC THERAPIES

Practice address

4130 Lisburn Rd
Mechanicsburg, PA 17055-5980

Phone

(717) 903-9567

NPI assigned

Jun 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Rebecca Mattiko

Title

Speech-Language Pathologist

Phone

(717) 903-9567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558891333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LISBURN RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555980",
            "telephone_number": "717-903-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LISBURN RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555980",
            "telephone_number": "717-903-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIKO PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATTIKO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "717-903-9567"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006062L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina E.B. Martyr, M.D.
• Mark Louis Mascari, DO
• Stacy Lee Masshardt, LMFT
• Anna Grace Mathewson
• Jamie L Matthews, OTR
• Gary Matzoni
• Jeffrey Alan Matzoni, DO
• Anastasia Marie Mauger, RPH
• Kristin May, MASTERS
• Anne Margaret Mayer, O.D.

• Speech-Language Pathologist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

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