Dysiris Mateo, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1240 Colgate Ave Apt 1
Bronx, NY 10472-2340

Phone

(347) 981-2317

NPI assigned

Apr 30, 2020

Last updated

Apr 30, 2020By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1952922957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 COLGATE AVE APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722340",
            "telephone_number": "347-981-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 COLGATE AVE APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722340",
            "telephone_number": "347-981-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "DYSIRIS",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "437502",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mail.google.com/mail/u/0/?ogbl#inbox",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1240 Colgate Ave Apt 1",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104722340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gennadiy Matatov, PHARM. D.
• Syna Stanis Matchanickal, DPT
• Adila Afzal Matcheswala, MD
• Marcella Mateo-Defusco, APRN
• Dolores Mateo, TEACHER
• Edelin C Mateo
• Esther Mateo, OTR/L
• Felicia Mateo I, OPTICIAN
• Frankely Mateo
• Jose O. Mateo

• Pediatric Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.