Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740798339 Individual Practitioner Female Practitioner

Kimberly Mattison

Speech-Language Pathologist • Woodbridge, VA

Professional Overview & Biography Verified Profile Summary

Kimberly Mattison is a registered healthcare professional specializing in Speech-Language Pathologist in Woodbridge, VA. Practice services are available at 2501 HUNTER PL STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2501 Hunter Pl Ste 101

Woodbridge, VA 221923940

Telephone 5407202261
Associated Practice Facility / Clinic
🏢 Fleming Therapy Services, Llc Facility NPI 1194925818

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Woodbridge, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
67 Specialists

Practicing in Woodbridge, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM SAH-2024-0120

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License VA 220208371

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Alyson Holt , OTD, OTR, L

Occupational Therapist

NPI 1003470105

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Alexandra Miceli , OTR, L

Occupational Therapist

NPI 1023556354

Occupational Therapist Registered, L

Dr. Annie Golovcsenko , PT, DPT

Physical Therapist - Pediatrics

NPI 1033678941

Physical Therapist, Doctor of Physical Therapy

Elizabeth Hasseltine , SLP

Speech-Language Pathologist

NPI 1043740905

Speech-Language Pathologist

Alissa Agnew , PT

Physical Therapist

NPI 1043764723

Physical Therapist

Cynthia Swarts

Occupational Therapist - Pediatrics

NPI 1053726075

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Speech-Language Pathologist (License #SAH-2024-0120 in NM)

📍
Updated Business Mailing Address July 07, 2024

Registered at 8301 GO WEST RD NW, ALBUQUERQUE, NM 871203785

👤
Provider Name / Credentials Updated July 07, 2024

Recorded as KIMBERLY MATTISON

NPI Profile Active January 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2018

Registered at 2501 HUNTER PL STE 101, WOODBRIDGE, VA 221923940 (Tel: 5407202261)

📍
Updated Business Mailing Address January 17, 2018

Registered at 2501 HUNTER PL STE 101, WOODBRIDGE, VA 221923940

👤
Provider Name / Credentials Updated January 17, 2018

Recorded as KIM SACCHI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2018

Speech-Language Pathologist (License #220208371 in VA)

🟢
Initial NPI Registration & Enumeration January 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740798339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2018
Last Update: August 08, 2024
Sole Proprietor: Yes

Mailing Address

8301 Go West Rd Nw

Albuquerque, NM 871203785

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.