Individual provider Active NPI

Alissa Matze

  • Occupational Therapy Assistant
  • Lakewood, CO
National Provider Identifier
1669925640
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0000755 Issued in CO
Practice address
7391 W Kentucky Dr
Apt. D
Lakewood, CO 80226-4946
Phone
(714) 348-6602
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0000755 CO Primary
Occupational Therapy Assistant 224Z00000X 3375 CA

Addresses

Primary practice location

7391 W Kentucky Dr
Apt. D
Lakewood, CO 80226-4946

Mailing address

7391 W Kentucky Dr
Apt. D
Lakewood, CO 80226-4946
Phone (714) 348-6602

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

State licenses

LicenseStateTypeSpecialty
0000755COMDOccupational Therapy Assistant
3375CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1669925640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 W KENTUCKY DR",
            "address_2": "APT. D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264946",
            "telephone_number": "714-348-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7391 W KENTUCKY DR",
            "address_2": "APT. D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264946",
            "telephone_number": "714-348-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZE",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "0000755",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.