Christopher Mathew, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Dover, FL
NPI 1053019059 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1053019059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT20769 (FL)
- Practice address
- 2636 Gallagher Rd
Dover, FL 33527-5304 - Phone
- (813) 541-4649
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT20769 | FL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT20769 | FL | Yes |
Addresses
Primary practice location
2636 Gallagher Rd
Dover, FL 33527-5304
Mailing address
2636 Gallagher Rd
Dover, FL 33527-5304
Phone (813) 541-4649
Other providers in Dover, FL
- Living Support Services LLC
- Claudia Maria Lopez Rodriguez
- Erixis Lopez
- Mirta Lugo
- Jacob Lynch
- Saroja Medidi
- Subhakararao Medidi
- Jacquelyn Mentor
- Carlita Dionne Miller
- Jennifer Lyn Miller
All providers in Dover, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.