Active NPI
Rebecca Lynn Mattie, OTR/L
- Pediatric Occupational Therapist
- Onalaska, WI
National Provider Identifier
1720658776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6445-26
- Practice address
- 429 Grove St
Onalaska, WI 54650-9162 - Phone
- (608) 633-1883
- NPI assigned
- Jun 30, 2021
- Last updated
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 6445-26 | WI | Primary |
Addresses
Primary practice location
429 Grove St
Onalaska, WI 54650-9162
Mailing address
429 Grove St
Onalaska, WI 54650-9162
Phone (608) 633-1883
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6445-26 | WI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honeybee OT, LLC | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1720658776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 GROVE ST",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546509162",
"telephone_number": "608-633-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 GROVE ST",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546509162",
"telephone_number": "608-633-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTIE",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WI",
"license": "6445-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WI
- Stephen W Maden, PT
- Maplewood Dental
- Tiffany Jean Marinier, D.O.
- Courtney Marie Marten, RDH, OMT
- Kelsey Ann Martin, LCSW, CSAC, ICS
- Adam David Matz, PHARMD
- Steven Allen Mayer, RPH
- Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Onalaska Pharmacy)
- Mayo Clinic Hospital-Rochester
- Mayo Foundation for Medical Education & Research (Mayo Clinic Store - Onalaska)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.