Active NPI
Nicole Matyas, OTR/L
- Occupational Therapist
- Levittown, PA
National Provider Identifier
1053784330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC014189
- Practice address
- 2901 Edgely Rd
Levittown, PA 19057-4308 - Phone
- (215) 945-7200
- NPI assigned
- Nov 9, 2015
- Sex
- Female
- 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 Therapist | 225X00000X | OC014189 | PA | Primary |
Addresses
Primary practice location
2901 Edgely Rd
Levittown, PA 19057-4308
Mailing address
103 Sylvia Way
Robbinsville, NJ 08691-3064
Phone (609) 240-7859
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC014189 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3 Dimensional Physical Therapy - Pelvic Health LLC | 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.
-
- Physical Therapist
- Medford, NJ
- NPI 1275348500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1053784330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SYLVIA WAY",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "086913064",
"telephone_number": "609-240-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 EDGELY RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190574308",
"telephone_number": "215-945-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATYAS",
"first_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC014189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.