Individual provider Active NPI

Matthew McEwin, CPO

  • Orthotist
  • Sterling Heights, MI
National Provider Identifier
1215586623
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
41400 Dequindre Rd Ste 105
Sterling Heights, MI 48314-3751
Phone
(586) 803-4325
NPI assigned
Sep 9, 2019
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU Primary
Prosthetist 224P00000X NU

Addresses

Primary practice location

41400 Dequindre Rd Ste 105
Sterling Heights, MI 48314-3751

Mailing address

41400 Dequindre Rd Ste 105
Sterling Heights, MI 48314-3751
Phone (586) 803-4325

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL striveop@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Orthotics & Prosthetics, LLC Orthotist CurrentSince Sep 15, 2019 Accepting new patients

Locations

41400 Dequindre Rd
Ste 105
Sterling Heights, MI 48314
Phone (586) 803-4325

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1215586623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD STE 105",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143751",
            "telephone_number": "586-803-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD STE 105",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143751",
            "telephone_number": "586-803-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWIN",
        "first_name": "MATTHEW",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "striveop@gmail.com",
            "affiliation": "N",
            "address_1": "41400 Dequindre Rd Ste 105",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483143751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.