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DR. ANDREA MARY MATTISON DPT
NPI 1497205108
Physical Therapist - Pediatrics in Saint Paul, MN

Active since October 05, 2016Accepts Medicare Assignment
2399 ARIEL ST #A, SAINT PAUL, MN 55108(651) 773-0354 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Andrea Mary Mattison Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA MARY MATTISON DPT (NPI 1497205108) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (10362) and active in the NPI registry since October 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1497205108
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameDR. ANDREA MARY MATTISONCredential: DPT
Location Address2399 ARIEL ST #ASaint Paul, MN 55108-2202
Mailing Address2399 Ariel St #aSaint Paul, MN 55108-2202 · (651) 773-0354
Phone(651) 773-0354
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 5, 2016
Last NPPES UpdateFebruary 7, 2018
✔ NPI 1497205108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in MN · 10362
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Other Identifiers 1

Other1629421482MN · Npi 2

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrea Mary Mattison Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284914672
PECOS Enrollment IDI20161130001659

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Mattison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Theraplay, LLC
Pediatrics
2399 ARIEL ST N, SUITE A
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 21 clinicians in this Medicare group
NPI 1215104393 (651) 773-0354
Fox Rehabilitation Services Mn LLC
Physical Therapist
500 CARLSON PKWY
Minnetonka, MN 55305
  • Reassigned Medicare billing, Minnesota enrollment
  • 87 clinicians in this Medicare group
NPI 1356802862 (877) 407-3422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Mattison's NPI number?

The NPI number for Andrea Mattison is 1497205108. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Andrea Mattison located?

Andrea Mattison practices at 2399 Ariel St #a, Saint Paul, MN 55108. The listed phone number is (651) 773-0354.

What is Andrea Mattison's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Andrea Mattison enrolled in Medicare?

Yes. Andrea Mattison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrea Mattison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Mattison reassigns Medicare benefits to 2 organizations: Children's Theraplay, LLC (Maplewood, MN) and Fox Rehabilitation Services Mn LLC (Minnetonka, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Mattison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Mattison was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.