Jennifer Jo Brunton Mattox, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

17-01863 Issued in KS

Practice address

2701 SW Randolph Ave
Topeka, KS 66611-1536

Phone

(785) 232-0597

NPI assigned

Mar 7, 2007

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

• Jennifer Jo Brunton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962532960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 NW DONDEE LN",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182672",
            "telephone_number": "785-286-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SW RANDOLPH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111536",
            "telephone_number": "785-232-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "JENNIFER",
        "middle_name": "JO BRUNTON",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "17-01863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRUNTON",
            "middle_name": "JO",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lani M. Matney, AUD
• Brent Mattes, CNMT
• Kyle L Matthews
• Sandra Matthews
• Thomas V Matthews, PHD
• Rhonda Matzke Flerlage, PTA
• Jennifer Rebecca Mauer, LMSW
• Mindy Diane Maurath, PHARMD
• Jayme M Mavrovich
• Debra Mae Maxey, LSCSW, LCAC

• Pediatric Occupational Therapist in Topeka, KS
• Providers in Topeka, KS by specialty
• Pediatric Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.