Active NPI
Matthew Ceran, OTR/L
- Occupational Therapist
- Weirton, WV
National Provider Identifier
1205246162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1675
- Practice address
- 3737 Lindberg Way
Weirton, WV 26062-4445 - Phone
- (304) 374-5137
- NPI assigned
- Apr 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119006099 | VA | |
| Occupational Therapist | 225X00000X | 1675 | WV | Primary |
Addresses
Primary practice location
3737 Lindberg Way
Weirton, WV 26062-4445
Mailing address
3737 Lindberg Way
Weirton, WV 26062-4445
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 |
|---|---|---|---|
| 1675 | WV | MD | Family Medicine Physician |
| 0119006099 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1205246162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 LINDBERG WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 LINDBERG WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624445",
"telephone_number": "304-374-5137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERAN",
"first_name": "MATTHEW",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006099",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.