Matthew Haase, OTR/L, ATC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008515 Issued in VA

Practice address

9154 Rockefeller LN
Springfield, VA 22153-1414

Phone

(703) 505-2783

NPI assigned

Jan 12, 2016

Last updated

May 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Temple Foundation IncGroup PAC ID 4486630985, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Temple Foundation Inc

  dba The Virginian

  • Physical Therapy Clinic/Center
  • Fairfax, VA
  • NPI 1336366079

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1295191849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9154 ROCKEFELLER LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9154 ROCKEFELLER LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531414",
            "telephone_number": "703-505-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "MATTHEW",
        "credential": "OTR/L, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-12",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002561",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Oncale Guthrie, PMHNP
• J Steven Gutmann, DDS MS
• Jamie Guzman
• Norma Guzman
• Upama Gyawali
• Nadia Habal, M.D.
• Emnet A Habtewold, FNP
• Deena Hadithi, DMD
• Ji'Nya Hagans
• Shahriar Haji-Momenian

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.