Andrea Matanovic, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

200 Hamlet Hills Dr
Chagrin Falls, OH 44022-2870

Phone

(440) 297-2107

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2024.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1083470835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9279 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607020",
            "telephone_number": "216-334-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAMLET HILLS DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222870",
            "telephone_number": "440-297-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATANOVIC",
        "first_name": "ANDREA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Marie Maroun
• Marymount Care Services LLC
• Marymount Primary Care Services Inc
• Marymount Primary Care Services, Inc
• Massey Physical Therapy LLC
• Kathleen S Maxwell, MSW, LISW-S
• Loraine M Mazzolini, INHC
• Kelly L McClintock, DDS
• Sherri L. McClurg, PSY.D.
• Anita McElrath

• All providers in Chagrin Falls, OH
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.