Kirsten R Matthews, MA, OTRL, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201006003 Issued in MI

Practice address

97 S 4TH St
Suite B
Ishpeming, MI 49849-2168

Phone

(906) 485-2775

Fax

(906) 486-1136

NPI assigned

Nov 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kirsten Rae Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Bell Medical Center

  • Multi-Specialty Clinic/Center
  • Ishpeming, MI
  • NPI 1477664837
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1982905733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-485-2679",
            "fax_number": "906-485-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST",
            "address_2": "SUITE B",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-485-2775",
            "fax_number": "906-486-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIRSTEN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MA, OTRL, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "NELSON",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "MA, OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marquette County Medical Care
• Deklan Paul Marshall
• Melanie Michelle Martin, DNP
• Mather Healthcare, LLC
• Megan Mathieu, PT, DPT
• Richard Keith Matthews, OTRL, CHT
• Madysen Mattias
• Sarah Ann Mayer, DC
• Christopher McDowell, PT
• Elizabeth Mead, DPT

• Occupational Therapist in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.