Active NPI
Matthew McCubbin, MS, OTR/L
- Occupational Therapist
- Potomac, MD
National Provider Identifier
1326672528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07784
- Practice address
- 10714 Potomac Tennis LN
Potomac, MD 20854-4418 - Phone
- (301) 299-2273
- NPI assigned
- Feb 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 07784 | MD | Primary |
Addresses
Primary practice location
10714 Potomac Tennis LN
Potomac, MD 20854-4418
Mailing address
4203 Cloudberry CT
Burtonsville, MD 20866-1317
Phone (240) 601-3637
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07784 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1326672528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 CLOUDBERRY CT",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661317",
"telephone_number": "240-601-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10714 POTOMAC TENNIS LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544418",
"telephone_number": "301-299-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUBBIN",
"first_name": "MATTHEW",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.