IndividualActive
Julie Mathis, COTA
NPI 1316383003 · Health Maintenance Organization · Havana, FL
Provider details
- NPI number
- 1316383003
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA12926 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
296 Cherokee Dr
Havana, FL 32333-4522
Phone: (850) 868-0623
Street-level locationGet directions
Mailing address
296 Cherokee Dr
Havana, FL 32333-4522
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2013-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.