Matthew Uccellini, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119006539 Issued in VA

Practice address

11901 Reedy Branch Rd
Chesterfield, VA 23838-4235

Phone

(804) 712-4058

NPI assigned

Feb 27, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456531200000",
    "number": "1174983514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 REEDY BRANCH RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238384235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 REEDY BRANCH RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238384235",
            "telephone_number": "804-712-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCCELLINI",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.