Kathryn Elizabeth Mattson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00001164 Issued in WA

Practice address

26837 Maple Valley Highway
Suite 201
Maple Valley, WA 98038

Phone

(425) 413-4427

Fax

(425) 413-4402

NPI assigned

Dec 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Elizabeth Durham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1922344258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22414 SE 282ND CT",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385171",
            "telephone_number": "425-413-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26837 MAPLE VALLEY HIGHWAY",
            "address_2": "SUITE 201",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-413-4427",
            "fax_number": "425-413-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00001164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DURHAM",
            "middle_name": "ELIZABETH",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Martinez
• Haifa M Marzouqa, PHARMACIST
• Kendall Mathew, LMP
• Alexandra Brooke Mathewes, LMHC, LCPC
• Matthew R Gee MD PC
• Adriana Renee May Roman
• Thomas Maynard
• Valerie Jill Mazziotti, PAC
• Jessica Angelina McAbee, MD
• Robin McCarthy

• Occupational Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.