Active NPI
Matthew Paul Peverly, OT
- Gerontology Occupational Therapist
- West Hartford, CT
National Provider Identifier
1184422495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 6483
- Practice address
- 275 Steele Rd
West Hartford, CT 06117-2716 - Phone
- (860) 920-6319
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 6483 | CT | Primary |
Addresses
Primary practice location
275 Steele Rd
West Hartford, CT 06117-2716
Mailing address
100 Bushy Hill Rd
Granby, CT 06035-1622
Phone (405) 534-0795
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1184422495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BUSHY HILL RD",
"city": "GRANBY",
"state": "CT",
"postal_code": "060351622",
"telephone_number": "405-534-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 STEELE RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172716",
"telephone_number": "860-920-6319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEVERLY",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "CT",
"license": "6483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.