Individual provider Active NPI

Matthew Lee Painter, OTR/L

  • Occupational Therapist
  • Lynchburg, VA
National Provider Identifier
1154137404
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007396 Issued in VA
Practice address
501 V E S Rd
Lynchburg, VA 24503-4638
Phone
(919) 943-7534
NPI assigned
Dec 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119007396 VA Primary

Addresses

Primary practice location

501 V E S Rd
Lynchburg, VA 24503-4638

Mailing address

12000 E Lynchburg Salem Tpke
Forest, VA 24551-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423002770 VA Practitioner - Occupational Therapist in Private Practice 7113442005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Outpatient Rehabilitation Services LLCGroup PAC ID 4789909987, 29 clinicians

Practice addresses (Care Compare)

2125 Langhorne Rd
Suite 205
Lynchburg, VA 24501-1423
Phone (434) 200-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119007396VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Outpatient Rehabilitation Services LLC Occupational Therapist CurrentSince Apr 16, 2025 Accepting new patients

Locations

2125 Langhorne Rd
Ste 205
Lynchburg, VA 24501
Phone (434) 200-4200

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1154137404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 E LYNCHBURG SALEM TPKE",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245513422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 V E S RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245034638",
            "telephone_number": "919-943-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.