Active NPI
Matthew Gaddie, COTA/L
- Occupational Therapy Assistant
- Safety Harbor, FL
National Provider Identifier
1033776018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA15574
- Practice address
- 1410 Dr Martin Luther King Jr Street North
Safety Harbor, FL 43695 - Phone
- (727) 726-1181
- NPI assigned
- May 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA15574 | FL | Primary |
Addresses
Primary practice location
1410 Dr Martin Luther King Jr Street North
Safety Harbor, FL 43695
Mailing address
1410 Dr Martin Luther King Jr Street North
Safety Harbor, FL 34695
Phone (727) 726-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA15574 | Other | FL | OTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA15574 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stuart B Strikowsky DO PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1699714519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1033776018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 DR MARTIN LUTHER KING JR STREET NORTH",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "34695",
"telephone_number": "727-726-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 DR MARTIN LUTHER KING JR STREET NORTH",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "43695",
"telephone_number": "727-726-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDIE",
"first_name": "MATTHEW",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA15574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTA",
"identifier": "OTA15574",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.