Maggie Derstine Matczak

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC014733 Issued in PA

Practice address

803 N Wahneta St
Allentown, PA 18109-2422

Phone

(610) 782-8300

NPI assigned

Jan 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1316411952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 CROSS RD",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194732125",
            "telephone_number": "267-377-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N WAHNETA ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092422",
            "telephone_number": "610-782-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATCZAK",
        "first_name": "MAGGIE",
        "middle_name": "DERSTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott J Masotti, LPC
• Michael Francis Mastroianni
• Angelica Elizabeth Masullo, DO
• Jorge Matarranz, MS
• Stephen Charles Matchett, MD
• Ashlee Matelan
• Maureen Matengo
• Barbara Matheson, M.A., CCC-A
• Shefin Mathew, PA-C
• Neilson Mathews, M.D.

• Occupational Therapist in Allentown, PA
• Providers in Allentown, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.