Active NPI
Christopher Matzye, LOTR
- Occupational Therapist
- Carencro, LA
National Provider Identifier
1063985604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 300735
- Practice address
- 204 E Saint Peter St
Carencro, LA 70520-4009 - Phone
- (337) 896-6686
- Fax
- (337) 565-6003
- NPI assigned
- Jan 7, 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 Therapist | 225X00000X | 300735 | LA | Primary |
Addresses
Primary practice location
204 E Saint Peter St
Carencro, LA 70520-4009
Mailing address
2002 Johnson St Ste 100
Jennings, LA 70546-3640
Phone (337) 824-4547
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Clinic of Carencro LLC | Past | Accepting new patients | |
| Lemoine Therapy Services of Cenla Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Mansura, LA
- NPI 1336242767
Occupational Therapist
-
- Physical Therapist
- Carencro, LA
- NPI 1669557906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1063985604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 JOHNSON ST STE 100",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463640",
"telephone_number": "337-824-4547",
"fax_number": "337-824-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E SAINT PETER ST",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705204009",
"telephone_number": "337-896-6686",
"fax_number": "337-565-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATZYE",
"first_name": "CHRISTOPHER",
"credential": "LOTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "300735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carencro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.