Chistopher Mattsen, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60815539 Issued in WA

Practice address

302 E 2ND Ave
Ellensburg, WA 98926-3316

Phone

(509) 933-8677

NPI assigned

Dec 13, 2017

Last updated

Dec 13, 2017By the provider in NPPES

Sex

Male

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

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1700391653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25504 SE 247TH PL",
            "city": "RAVENSDALE",
            "state": "WA",
            "postal_code": "980519675",
            "telephone_number": "509-264-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 2ND AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263316",
            "telephone_number": "509-933-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSEN",
        "first_name": "CHISTOPHER",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60815539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Martin
• Areli Martinez-Bustos
• Faith Kaylyn Mason
• Hendrika Mather, M.S.
• Jamie Matson
• Sarah Louise McArthur, LCSW
• Brandy McBride
• Kylie McCarl
• Zachary Tyler McConnell, DO
• Jay McDonald, RN

• Occupational Therapy Assistant in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.