Individual provider Active NPI

Jessica Stoltz Matherne, LOTR, CHT

  • Hand Occupational Therapist
  • Lafayette, LA
National Provider Identifier
1952795262
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OTT.200634 Issued in LA
Practice address
122 Olivewood Dr
Lafayette, LA 70508-8187
Phone
(337) 545-2355
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OTT.200634 LA Primary
Hand Occupational Therapist 225XH1200X 201705009 LA

Addresses

Primary practice location

122 Olivewood Dr
Lafayette, LA 70508-8187

Mailing address

302 Habitat Ridge Dr
Broussard, LA 70518-5292
Phone (504) 458-6579

Other names 1

  • Mrs. Jessica Ann Stoltz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601000626 LA Practitioner - Occupational Therapist in Private Practice 4284955436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Orthopaedic Specialists LLCGroup PAC ID 1850469305, 71 clinicians
MTS-LGH Therapy Services LLCGroup PAC ID 1052683174, 29 clinicians

Practice addresses (Care Compare)

108 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone (337) 889-3098

2115 Dulles Dr
Lafayette, LA 70506-2652
Phone (337) 981-9182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201705009LAMDHand Occupational Therapist
OTT.200634LAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MTS-LGH Therapy Services LLC Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients
McLeod-Trahan-Sheffield Physical Therapy Services, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Louisiana Orthopaedic Specialists, LLC Past Accepting new patients
Acadiana Physical Therapy, Inc. PastSince Jan 1, 2013 Accepting new patients

Locations

1400 Rees St
Ste D
Breaux Bridge, LA 70517
Phone (337) 277-8129

4212 W Congress St
Ste 1900
Lafayette, LA 70506
Phone (337) 703-3270

2115 Dulles Dr
Lafayette, LA 70506
Phone (337) 261-0507

201 W Gloria Switch Rd
Ste H
Lafayette, LA 70507
Phone (337) 233-8080

4402 U S Highway 167
Ste B
Maurice, LA 70555
Phone (337) 516-3160

Organizations & group practices 5

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1952795262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HABITAT RIDGE DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185292",
            "telephone_number": "504-458-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 OLIVEWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088187",
            "telephone_number": "337-545-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERNE",
        "first_name": "JESSICA",
        "middle_name": "STOLTZ",
        "credential": "LOTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "OTT.200634",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "201705009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STOLTZ",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.