Individual provider Active NPI

Jasmine Mathew, CTRS

  • Recreation Therapist
  • Frisco, TX
National Provider Identifier
1740801331
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
49204 Issued in PA
Practice address
15820 Christopher Lane
Frisco, TX 75035
Phone
(215) 219-4928
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 49204 PA Primary

Addresses

Primary practice location

15820 Christopher Lane
Frisco, TX 75035

Mailing address

15820 Christopher LN
Frisco, TX 75035-3624
Phone (215) 219-4928

Other practice location 1

15820 Christopher Ln
Frisco, TX 75035-3624
Phone (215) 219-4928

Other practice location 2

15820 Christopher Ln
Frisco, TX 75035-3624
Phone (215) 219-4928

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
49204PAMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1740801331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15820 CHRISTOPHER LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750353624",
            "telephone_number": "215-219-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 CHRISTOPHER LANE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "215-219-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15820 Christopher Ln",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750353624",
            "country_code": "US",
            "telephone_number": "215-219-4928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15820 Christopher Ln",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750353624",
            "country_code": "US",
            "telephone_number": "215-219-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JASMINE",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "PA",
            "license": "49204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.