MATTHEW MARK THAUT (OTR/L) – Occupational Therapist, NPI 1093744252

MATTHEW MARK THAUT (OTR/L) is a healthcare provider. based in Everett, Washington. specializing in Occupational Therapist. They hold the professional credentials OTR/L. They hold a License No. OT00003736 (WA). The NPI Number for MATTHEW MARK THAUT (OTR/L) is 1093744252

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW MARK THAUT (OTR/L)
NPI
1093744252
Phone
(425) 257-1336
Address
3319 COLBY AVE
Enumeration Date
1 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602798323
Graduation Year
2002 (24 years ago)
PAC ID
0547691628
Group Practice PAC ID
0749227676
Professional Enrollment ID
I20200505000576
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MATTHEW MARK THAUT (OTR/L)

  • 3319, Colby Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    APT. 202

    EVERETT, WA 982014342

    Phone: (425) 257-1336

    Type: Mailing

  • Providence Regional Medical Center, 916, Pacific Avenue, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982014147

    Phone: (425) 258-7600

    Fax: (425) 258-7406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749227676View full group profile
NameSpecialtyState
MS. WENDOLYN ANNE RUE (PT)
-WA
BRADY WADE
-AL
MARREM PENAFLOR AIELLO (OTR/L)
-WA
MS. DAWNA LOUISE GIEM (PT)
-AE
MR. THOMAS DAVID PRIMAVERA (OT)
-WA

Reviews

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Frequently asked questions

What unique ID ties claims to MATTHEW MARK THAUT (OTR/L)?
NPI 1093744252 is assigned to MATTHEW MARK THAUT (OTR/L) under the national enumeration system.
Does this profile mean MATTHEW MARK THAUT (OTR/L) is currently active?
Yes — MATTHEW MARK THAUT (OTR/L) appears active in the national provider directory.
What does MATTHEW MARK THAUT (OTR/L) treat or focus on?
Patients typically see MATTHEW MARK THAUT (OTR/L) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is MATTHEW MARK THAUT (OTR/L)'s primary listing?
We display Everett, Washington because that is what the record indicates for MATTHEW MARK THAUT (OTR/L).
Is MATTHEW MARK THAUT (OTR/L) a real provider?
This page reflects official NPPES data for NPI 1093744252. Always confirm identity and privileges with the practice and licensing boards.

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