MEDICARE: AMY MATTHIESSEN OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	6019	SC

General Provider Information

NPI Number	:	1770240160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MATTHIESSEN OT

Provider Business Mailing Address
First Line	:	505 BELLE HALL PKWY UNIT 101
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-8326
Country	:	US
Telephone Number	:	843-718-2683
Fax Number	:	803-573-1050

Provider Business Practice Location Address
First Line	:	505 BELLE HALL PKWY UNIT 101
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-8326
Country	:	US
Telephone Number	:	843-718-2683
Fax Number	:	803-573-1050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2021
Last Update Date	:	12/14/2021

Similar Medicare Providers

1851910418 — RUTH M MCTIGHE MD
Practice Location Address:

505 BELLE HALL PKWY UNIT 202
MT PLEASANT, SC
29464-8326

Practice Phone: 843-449-0453
Practice Fax:

1073997664 — BAYADA HOME HEALTH CARE, INC.
Practice Location Address:

505 BELLE HALL PKWY , SUITE 201
MOUNT PLEASANT, SC
29464-8326

Practice Phone: 843-856-3100
Practice Fax: 843-971-7056

1538358759 — DR. MAYA SHANTIKUMAR
Practice Location Address:

8326 N SAGINAW RD
MOUNT MORRIS, MI
48458-1648

Practice Phone: 810-687-5040
Practice Fax:

1437483294 — MRS. JULIE R AGAN PHYSICAL THERAPIST
Practice Location Address:

3403 CARRIAGE FARM RD
ROCKY MOUNT, NC
27804-8326

Practice Phone: 252-937-0177
Practice Fax:

1679905988 — MR. BRIAN J AGAN PT
Practice Location Address:

3403 CARRIAGE FARM RD
ROCKY MOUNT, NC
27804-8326

Practice Phone: 252-937-0177
Practice Fax:

1700260734 — TRAVIS HADDAD
Practice Location Address:

8326 N SAGINAW RD
MOUNT MORRIS, MI
48458-1648

Practice Phone: 810-687-5040
Practice Fax: 810-687-5130

Directions to “ AMY MATTHIESSEN OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.