Theresa J Matchekosky, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

012413-1 Issued in NY

Practice address

1913 Croydon Dr
Bellmore, NY 11710-3053

Phone

(516) 647-2659

NPI assigned

Oct 29, 2008

Sex

Female

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

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": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1407009830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 CROYDON DR",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103053",
            "telephone_number": "516-647-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 CROYDON DR",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103053",
            "telephone_number": "516-647-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATCHEKOSKY",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "012413-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "012413-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Marx
• Michael Marzano, OT
• Teresa Mascitti, N.P.
• Masen Consulting Inc
• Rebecca Massone, PA-C
• Jessica Louisa Mauro I
• Laqueta Maxwell
• Diana Mayer
• Jaquayja Rebecca Mayzck
• Mary McAllister Davis, DDS

• Pediatric Occupational Therapist in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.