Nicole Mathis, OT
NPI 1619432036 · Occupational Therapist · Kennesaw, GA
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Mathis, OT is a Occupational Therapist provider in Kennesaw, GA (NPI 1619432036).
Provider details
- NPI number
- 1619432036
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 12293 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,608 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 512 | $23 |
| Therapy Procedure Using Functional Activities97530 | 457 | $34 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 297 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 192 | $27 |
| Therapy Procedure in a Group Setting97150 | 135 | $14 |
| Evaluation for Occupational Therapy, Typically 45 Minutes97166 | 15 | $99 |
Practice location
Mailing address
Additional practice locations (1)
- 207 E Meadow Rd Ste 3Eden, NC 27288-3469Phone: (336) 627-3771Fax: (336) 627-3777
Registry dates
- Enumerated
- 2019-02-11
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Nicole Mathis's NPI number?
- Nicole Mathis's National Provider Identifier (NPI) is 1619432036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Mathis's specialty?
- Nicole Mathis is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Mathis located?
- Nicole Mathis's practice location on file with NPPES is 600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210.
- What is Nicole Mathis's phone number?
- The practice phone number listed in the NPPES registry for Nicole Mathis is (770) 425-6701.
- Does Nicole Mathis accept Medicare?
- Nicole Mathis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Mathis's NPI active?
- Yes — Nicole Mathis's NPI (1619432036) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.