Jillian Grace Matson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC016205 Issued in PA

Practice address

2331 E Susquehanna Ave
Philadelphia, PA 19125-2930

Phone

(240) 793-7320

NPI assigned

Jul 31, 2019

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1750935458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 E SUSQUEHANNA AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252930",
            "telephone_number": "240-793-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 E SUSQUEHANNA AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252930",
            "telephone_number": "240-793-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "JILLIAN",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc A Matozzo, DO
• Elizabeth A. Matray, P.A.-C.
• Matrix Medical Supplies Company Inc.
• Janine Ann Matsko, M.D.
• Lauren Emily Matsnev, MD
• Jokichi Matsubara, MD
• Yuriko Matsuo
• Matt Lerner, PHD PLLC
• Matt Sosnowsky, PLLC (Philadelphia Talk Therapy)
• Brionna Matt, DO

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.