Provider Demographics
NPI:1154349660
Name:MATHEWSON, KAREN R (OTR/L,CHT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:R
Last Name:MATHEWSON
Suffix:
Gender:F
Credentials:OTR/L,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 CARRIAGE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3428
Mailing Address - Country:US
Mailing Address - Phone:401-942-3343
Mailing Address - Fax:401-942-3733
Practice Address - Street 1:150 MIDWAY RD
Practice Address - Street 2:SUITE 173
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5710
Practice Address - Country:US
Practice Address - Phone:401-942-3343
Practice Address - Fax:401-942-3733
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT00032174400000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIP49792Medicare UPIN