Individual provider Active NPI

Nadia Gabrielle Mattson, OTR/L

  • Occupational Therapist
  • Clearwater, FL
National Provider Identifier
1629642863
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6909 Issued in WI
Practice address
2751 Regency Oaks Blvd
Clearwater, FL 33759-1524
Phone
(727) 314-7441
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 6909 WI Primary

Addresses

Primary practice location

2751 Regency Oaks Blvd
Clearwater, FL 33759-1524

Mailing address

2801 Chancery LN
Clearwater, FL 33759-1427
Phone (727) 409-2662

Other practice location 1

2500 Overlook Ter
Madison, WI 53705-2254
Phone (727) 409-2662

Other practice location 2

2127 Luann Ln Apt 1
Madison, WI 53713-4542
Phone (727) 409-2662

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1629642863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CHANCERY LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591427",
            "telephone_number": "727-409-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 REGENCY OAKS BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591524",
            "telephone_number": "727-314-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Overlook Ter",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537052254",
            "country_code": "US",
            "telephone_number": "727-409-2662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2127 Luann Ln Apt 1",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537134542",
            "country_code": "US",
            "telephone_number": "727-409-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "NADIA",
        "middle_name": "GABRIELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

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

Verify at the official NPI Registry.