Individual provider Active NPI

Nicolaus Michael Mather, OT

  • Occupational Therapist
  • Westminster, MD
National Provider Identifier
1891087946
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06655 Issued in MD
Practice address
844 Washington Rd
Suite 101
Westminster, MD 21157-5740
Phone
(410) 876-5600
Fax
(410) 876-1623
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 06655 MD Primary

Addresses

Primary practice location

844 Washington Rd
Suite 101
Westminster, MD 21157-5740

Mailing address

844 Washington Rd
Suite 101
Westminster, MD 21157-5740
Phone (410) 876-5600

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

LicenseStateTypeSpecialty
06655MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab, LLC Occupational Therapist CurrentSince Nov 24, 2015 Accepting new patients
Maryland Sportscare & Rehab LLC Occupational Therapist CurrentSince Nov 24, 2015 Accepting new patients

Locations

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

2319 Hanover Pike
Ste G
Hampstead, MD 21074
Phone (410) 374-0925

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

844 Washington Rd
Ste 101
Westminster, MD 21157

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1891087946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD",
            "address_2": "SUITE 101",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575740",
            "telephone_number": "410-876-5600",
            "fax_number": "410-876-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD",
            "address_2": "SUITE 101",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575740",
            "telephone_number": "410-876-5600",
            "fax_number": "410-876-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHER",
        "first_name": "NICOLAUS",
        "middle_name": "MICHAEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.