Elizabeth Nicole Matejcik, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006915A Issued in IN

Practice address

940 E Williams Field Rd
Gilbert, AZ 85295-5700

Phone

(480) 812-8100

NPI assigned

Oct 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Elizabeth Nicole Denzik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adaptive Rehabilitation Clinics, LLC

  • Physical Therapist
  • Niles, OH
  • NPI 1568085579

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1407366065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WILLIAMSBURG DR",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400474701",
            "telephone_number": "623-694-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E WILLIAMS FIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955700",
            "telephone_number": "480-812-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEJCIK",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-005949",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006915A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DENZIK",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Beth Masters, FNP
• Marissa Mastroianni, OTR
• Jorge Masuello, M.D.
• Judit Atziri Matamoros Contreras, COTA
• Alvaro Matamoros-Aunon, CRNA
• Maternal Fetal Medicine and Genetics PLC
• Raymonda D Matheka, PSYD
• Nicole Matheny
• Aaron Mathew Kuriakose
• Albert Mathew I, RRT

• Occupational Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.