P Praxis·MD
● Active Type 1 · Individual

Shannon Michelle Mattingly, OTR/L

Occupational Therapist·Clayton, GA· NPI 1578571865 · Enumerated 2006 · 19 years on NPI
Mattingly is 1 of 6 occupational therapist providers in Clayton and 1 of 3276 in Georgia.
NPI age
19 years
Enumerated 2006-08-03
Primary specialty
Occupational Therapist
Plus 1 subspecialty
Licensed in
GA, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-04-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3276 active occupational therapist providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
790 N Main St, Suite 102
Clayton, GA 305254275
📞 7062120661fax 7062120662
Mailing address
109 Fleetwood Dr, Suite E
Easley, SC 296402019
📞 8648557030fax 8648557019

Specialties

  • Occupational Therapist Primary
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    GA license #OT004853KY license #KY-R3598 taxonomy 225X00000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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