NPIMap

Organization Active NPI

Matthew Franco O.T.P.C.

  • Occupational Therapist
  • Port Jefferson, NY
National Provider Identifier
1114415510
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007898-1 Issued in NY
Legal business name
MATTHEW FRANCO O.T.P.C.
Practice address
5 Avon Dr
Port Jefferson, NY 11777-2103
Phone
(631) 828-0831
NPI assigned
May 1, 2018
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew R Franco, OCCUPATIONAL THERAPINPI 1033496328
Title
President
Phone
(631) 828-0831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007898-1 NY Primary

Addresses

Primary practice location

5 Avon Dr
Port Jefferson, NY 11777-2103

Mailing address

5 Avon Dr
Port Jefferson, NY 11777-2103
Phone (631) 828-0831

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1114415510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AVON DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772103",
            "telephone_number": "631-828-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 AVON DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772103",
            "telephone_number": "631-828-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW FRANCO O.T.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-828-0831",
        "authorized_official_credential": "OCCUPATIONAL THERAPI"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007898-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.