Tiara Lyn Mataia, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-947 Issued in HI

Practice address

501 Water Ave
Elm Springs, AR 72762-7091

Phone

(479) 480-8509

Fax

(808) 326-4063

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1639223282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W SHANE CT",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613234",
            "telephone_number": "808-339-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WATER AVE",
            "city": "ELM SPRINGS",
            "state": "AR",
            "postal_code": "727627091",
            "telephone_number": "479-480-8509",
            "fax_number": "808-326-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAIA",
        "first_name": "TIARA",
        "middle_name": "LYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-947",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR1131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS BLUE SHEILD",
            "identifier": "5T431",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130525721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Celesta Carroway, SSP
• Lacie Nicole Eubanks
• Courtney Suzanne Finley
• Tyler Jensen, M.S., LAC
• Metheny Family Care Clinic Corp
• Robin Raquel Pinkley, RN
• R F Consulting LLC
• Christina Villanueva Gonzalez
• Darby Rae Vrana

• Occupational Therapist in Elm Springs, AR
• Providers in Elm Springs, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.