Active NPIIndividual providerSole proprietor

Alyssa Matthews, OTR/L

Occupational Therapist in Bonners Ferry, Idaho

NPI Number1720660160
Practice location
6640 Kaniksu St, Bonners Ferry, ID 83805-7532
Fax
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Last updated
January 10, 2024

Alyssa Matthews is an Occupational Therapist based in Bonners Ferry, ID. Alyssa Matthews practices in Bonners Ferry, ID and has the professional credentials of OTR/L. The NPI Number for Alyssa Matthews is 1720660160 and holds a License No. 072.0134180 (VT). The current practice location address for Alyssa Matthews is 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 and can be reached out via phone at 208-267-3141.

Provider Profile Details

NPI Number
1720660160
Provider Name
Alyssa Matthews
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
6640 Kaniksu St, Bonners Ferry, ID 83805-7532
Phone Number
208-267-3141
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 26, 2021
Last Update Date
January 10, 2024
Certification Date
January 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
6640 Kaniksu St
Bonners Ferry, ID 83805-7532
State
Idaho
Zip
83805-7532
Phone Number
208-267-3141
Bonners Ferry, ID 83805Get directions →

Provider Business Mailing Address Details

Address
46 Nichols St
Rutland, VT 05701-3275
City
Rutland
State
VT
Zip
05701-3275
Phone Number
802-775-2941

License Information

License Number (1)
072.0134180
License State (1)
VT
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
OT-2893
License State (2)
ID
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alyssa Matthews, OTR/L?

The NPI number of Alyssa Matthews, OTR/L is 1720660160. It was assigned on April 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Alyssa Matthews, OTR/L?

Alyssa Matthews, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in VT under license number 072.0134180.

Where does Alyssa Matthews, OTR/L practice?

The practice location is 6640 Kaniksu St, Bonners Ferry, ID 83805-7532. The office can be reached at 208-267-3141 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720660160 directly on the NPPES registry website.

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