Active NPI
Matthew Lawrence Press, OTR/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1083669212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT9283
- Practice address
- 5641 W Wood St
Phoenix, AZ 85043-6324 - Phone
- (602) 283-4556
- NPI assigned
- May 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3880 | AZ | |
| Occupational Therapist | 225X00000X | OT9283 | FL | Primary |
Addresses
Primary practice location
5641 W Wood St
Phoenix, AZ 85043-6324
Mailing address
5641 W Wood St
Phoenix, AZ 85043-6324
Phone (602) 283-4556
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 |
|---|---|---|---|
| 3880 | AZ | MD | Occupational Therapist |
| OT9283 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Az BD of Regents for on Behalf of Northern Az University | Current | Accepting new patients | |
| Northern Arizona University | Current | Accepting new patients |
Locations
208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122
912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695
912 Riordan Rd
Bldg 27 A
Flagstaff, AZ 86011
Phone (928) 523-6773
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.
-
- Primary Care Clinic/Center
- Flagstaff, AZ
- NPI 1891727863
-
- Audiologist-Hearing Aid Fitter
- Flagstaff, AZ
- NPI 1912950486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1083669212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5641 W WOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850436324",
"telephone_number": "602-283-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5641 W WOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850436324",
"telephone_number": "602-283-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESS",
"first_name": "MATTHEW",
"middle_name": "LAWRENCE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3880",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT9283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.