MS. KIMBERLY ANNE MATTOX (NPI# 1104079045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104079045 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ANNE MATTOX |
| Credential | OTR/L |
| Practice Address |
1008 Thompson St Jersey Shore PA 17740-1729 |
| Mailing Address |
225 Delaware Dr Watsontown PA 17777-9715 |
| Practice Telephone | 5703984747 |
| Mailing Telephone | 5702209082 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC005616L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023004421 | Kimberly Mattox | Pharmacist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2005-09-22 |
| Street Address |
1008 THOMPSON ST |
| City | JERSEY SHORE |
| State | PA |
| Zip Code | 17740-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992750921 | Manor Care of Jersey Shore Pa LLC | Skilled Nursing Facility | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2006-05-25 |
| 1386897387 | Denise Mae Hershberger | Physical Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-11-04 |
| 1912150178 | Elaine Dorney | Physical Therapist | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-30 |
| 1285887125 | Crystal Renea Corl | Occupational Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-23 |
| 1265685101 | Karen Marie Lamper | Occupational Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-23 |
| 1235382177 | Leita Faye Clark | Occupational Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851680284 | E. Milton Witthoff Jr. | General Practice | 1563 Torbert Ln, Jersey Shore, PA 17740 | 2011-04-06 |
| 1932323326 | Candace B Kanzler | Occupational Therapy Assistant | 1032 Pine Drive, Jersey Shore, PA 17740 | 2007-04-13 |
| 1376687434 | Jacqueline Elaine George | Specialist/Technologist | 701 Cemetery Street, Jersey Shore, PA 17740 | 2007-02-20 |
| 1508917634 | Christopher Todd Witmer | Chiropractor | 1324 Allegheny Street, Jersey Shore, PA 17740 | 2007-01-16 |
| 1174130843 | Amanda Lee Cagle | Pharmacist | 1321 Allegheny St, Jersey Shore, PA 17740 | 2020-09-28 |
| 1598100182 | Anthony T Wang | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740 | 2013-05-08 |
| 1912253188 | Trustin A Saam | Internal Medicine | 1020 Thompson St, Jersey Shore, PA 17740 | 2012-07-25 |
| 1821138272 | Thomas Lane Showers | Internal Medicine | 1020 Thompson St, Jersey Shore, PA 17740 | 2007-02-07 |
| 1205945870 | Nathan James Carpenter | Chiropractor | 135 N Main St, Jersey Shore, PA 17740 | 2006-08-29 |
| 1104989359 | John Paul Grove | Dentist | 812 Allegheny Street, Jersey Shore, PA 17740-0508 | 2006-12-19 |
| Find all providers in zip 17740 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764644 | Ashley Kay Craig | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-09-14 |
| 1306496823 | Kelly Mccloud | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2019-09-17 |
| 1023508926 | Angela Rose Early | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-05-16 |
| 1215432547 | Darrell Hollingshead | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194571 | Julia Marie Wood | Occupational Therapist | 330 Price Ave, Narberth, PA 19072-1918 | 2020-11-08 |
| 1518568526 | Jordan Kandra Butters | Occupational Therapist | 11 Austin St, Wellsboro, PA 16901-1703 | 2020-11-05 |
| 1306447719 | Maxine Sydney Shusman | Occupational Therapist | 238 Valley Ridge Rd, Haverford, PA 19041-2029 | 2020-11-03 |
| 1134728165 | Martina Marie Sledziewski | Occupational Therapist | 64 Ridgway Dr, Dallas, PA 18612-9263 | 2020-10-21 |
| 1871192294 | Rebecca Helen Dickinson | Occupational Therapist | 1180 College Ave, Jeannette, PA 15644-6603 | 2020-10-19 |
| 1578161915 | Elizabeth Tyson | Occupational Therapist | 739 Hickory Rd, Secane, PA 19018-3309 | 2020-10-16 |
| 1265030837 | Jacqueline Elizabeth Strausser | Occupational Therapist | 430 1st St, Eynon, PA 18403-1435 | 2020-10-15 |
| 1689272163 | Megan Davis | Occupational Therapist | 5779 Burkey Rd, Gap, PA 17527-9648 | 2020-10-15 |
| 1285232926 | Arianna Christine Tutino | Occupational Therapist | 143 Sunset Ln, Stahlstown, PA 15687-1117 | 2020-10-14 |
| 1831797836 | Marie Danglovitch | Occupational Therapist | 25 Monument Rd Ste 175, York, PA 17403-5058 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY SHORE |
| Zip Code | 17740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.