National Provider Identifier
Jill Mattison Austin
Jill Mattison Austin is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Ithaca, NY and a listed phone number of (607) 227-4421.
Profile Overview
- NPI
- 1679309736
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- September 13, 2024
- Last Updated
- September 13, 2024
Practice Location
- 15 Catherwood RD
- Ithaca, NY 14850-1071
Phone: (607) 227-4421
Mailing Address
- 519 Scofield RD
- Groton, NY 13073-9737
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1679309736
- Entity Type
- Individual
- Last Name
- Austin
- First Name
- Jill
- Middle Name
- Mattison
- Mailing Street Address
- 519 Scofield RD
- Mailing City
- Groton
- Mailing State
- NY
- Mailing ZIP Code
- 13073-9737
- Mailing Country
- US
- Mailing Phone
- (607) 227-8180
- Practice Street Address
- 15 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1071
- Practice Country
- US
- Practice Phone
- (607) 227-4421
- Enumeration Date
- September 13, 2024
- Last Updated
- September 13, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)