Active NPI
Susan Mathews, OT
- Occupational Therapist
- Soldotna, AK
National Provider Identifier
1750413811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 708
- Practice address
- 35105 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7658 - Phone
- (907) 262-5730
- NPI assigned
- Mar 12, 2007
- Last updated
- May 7, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 708 | AK | Primary |
Addresses
Primary practice location
35105 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7658
Mailing address
PO Box 3756
Soldotna, AK 99669-3756
Phone (907) 262-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT5023 | Medicaid | AK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 708 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Rehabilitative Services Inc | Occupational Therapist | Past | 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.
-
- Occupational Therapist
- Kenai, AK
- NPI 1801928049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1750413811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3756",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996693756",
"telephone_number": "907-262-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35105 KENAI SPUR HWY STE A",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697658",
"telephone_number": "907-262-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "SUSAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OT5023",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.