Jill Mattison Austin

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

504615 Issued in NY

Practice address

15 Catherwood Rd
Ithaca, NY 14850-1071

Phone

(607) 227-4421

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Full Spectrum Occupational TherapyGroup PAC ID 4789074188, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Spectrum Occupational Therapy

  • Occupational Therapist
  • Ithaca, NY
  • NPI 1750959904
  Medicare reassignment Care Compare group NPD
• Full Spectrum Rehabilitation and Wellness, LLC

  • Occupational Therapist
  • Ithaca, NY
  • NPI 1508407768
  NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1679309736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 SCOFIELD RD",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "130739737",
            "telephone_number": "607-227-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CATHERWOOD RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501071",
            "telephone_number": "607-227-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JILL",
        "middle_name": "MATTISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "504615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asthma & Allergy Associates P.C.
• Robin Atkin
• Alexis Lenore Aubrey, RN 706523-01
• Cynthia J Aumick, RN
• Jessica Austin, NP
• Authentic Life Mental Health Counseling, PLLC
• Cheryl Avery, LPN
• Debora Axtell, RN
• Harmony Ayers-Friedlander, LMHC
• Rachel Elizabeth Ayers, FNP-C

• Pediatric Occupational Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.