Active NPI
Danielle Matusik, OT
- Occupational Therapist
- Ann Arbor, MI
National Provider Identifier
1245750702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009811
- Practice address
- 3135 Professional Dr
Ann Arbor, MI 48104-5131 - Phone
- (734) 677-4600
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201009811 | MI | Primary |
Addresses
Primary practice location
3135 Professional Dr
Ann Arbor, MI 48104-5131
Mailing address
3135 Professional Dr
Ann Arbor, MI 48104-5131
Phone (734) 677-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201009811 | Other | MI | STATE OF MICHIGAN BOARD OF OCCUPATIONAL THERAPIST |
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 |
|---|---|---|---|
| 5201009811 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245750702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3135 PROFESSIONAL DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481045131",
"telephone_number": "734-677-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 PROFESSIONAL DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481045131",
"telephone_number": "734-677-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSIK",
"first_name": "DANIELLE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN BOARD OF OCCUPATIONAL THERAPIST",
"identifier": "5201009811",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.