Active NPI
Matthew Drew Enz, OTR/L
- Occupational Therapist
- Winchester, KY
National Provider Identifier
1144503632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1553
- Practice address
- 402 Atrium PL
Winchester, KY 40391-2062 - Phone
- (740) 821-6335
- NPI assigned
- Sep 21, 2011
- Last updated
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 1553 | WV | Primary |
Addresses
Primary practice location
402 Atrium PL
Winchester, KY 40391-2062
Mailing address
402 Atrium PL
Winchester, KY 40391-2062
Phone (740) 821-6335
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1553 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1144503632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 ATRIUM PL",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403912062",
"telephone_number": "740-821-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 ATRIUM PL",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403912062",
"telephone_number": "740-821-6335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENZ",
"first_name": "MATTHEW",
"middle_name": "DREW",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.