Active NPI
Cassie Mattox
- Occupational Therapy Assistant
- Aiken, SC
National Provider Identifier
1811128804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2770
- Practice address
- 550 Eastgate Dr
Aiken, SC 29803-7688 - Phone
- (803) 335-1029
- NPI assigned
- Aug 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 Therapy Assistant | 224Z00000X | 2770 | SC | Primary |
Addresses
Primary practice location
550 Eastgate Dr
Aiken, SC 29803-7688
Mailing address
1012 Adrian St
Augusta, GA 30904-4122
Phone (706) 399-9085
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 |
|---|---|---|---|
| 2770 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1811128804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 ADRIAN ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044122",
"telephone_number": "706-399-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 EASTGATE DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037688",
"telephone_number": "803-335-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTOX",
"first_name": "CASSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "2770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.