NPIMap

Organization Active NPI

David R Matos Occupational Therapy Services LLC

Doing business as Onward Therapy Pediatrics

  • Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1174022859
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DAVID R MATOS OCCUPATIONAL THERAPY SERVICES LLC
Doing business as
Onward Therapy Pediatrics
Practice address
8881 SW Montova Way
Port St Lucie, FL 34987-8708
Phone
(772) 275-5549
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Mr. David Rolando Matos, MOT, OTR/LNPI 1376067520
Title
Occupational Therapist
Phone
(772) 521-5238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X OT18631 FL
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8881 SW Montova Way
Port St Lucie, FL 34987-8708

Mailing address

8881 SW Montova Way
Port Saint Lucie, FL 34987-8708
Phone (772) 521-5238

Other names 1

  • Onward Therapy Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1174022859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 SW MONTOVA WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349878708",
            "telephone_number": "772-521-5238",
            "fax_number": "772-673-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 SW MONTOVA WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349878708",
            "telephone_number": "772-275-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R MATOS OCCUPATIONAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROLANDO",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "772-521-5238",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18631",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onward Therapy Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

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