Grace Mattimore, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0006129 Issued in CO

Practice address

4704 Harlan St Ste 200
Denver, CO 80212-7417

Phone

(303) 433-0852

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Amaryllis Therapy Network, Inc.

  • Occupational Therapist
  • Denver, CO
  • NPI 1629487947

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1649043142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 S UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802106031",
            "telephone_number": "574-807-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 HARLAN ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127417",
            "telephone_number": "303-433-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIMORE",
        "first_name": "GRACE",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0006129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Ann Matthews, NP
• Stephen Matthews, MD
• Yvonne E. Matthews, MS, CNS, LDN, BCHN
• Maren Matthias, LCSW
• Cora Nicole Mattie, PA-C
• Sophia Mattingly, LPCC
• Allison Mattivi
• Pamela A Mattson, MD
• Tara Kemery Mattson, FNP
• Emily Marie Matus, RN

• Speech-Language Pathologist in Denver, CO
• Providers in Denver, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.