Active NPI
Matthew Olivier, MOTR/L
- Occupational Therapist
- Frankenmuth, MI
National Provider Identifier
1477091213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6692
- Practice address
- 521 Franconian Dr E
Frankenmuth, MI 48734-1003 - Phone
- (989) 280-2895
- NPI assigned
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 6692 | AZ | Primary |
Addresses
Primary practice location
521 Franconian Dr E
Frankenmuth, MI 48734-1003
Mailing address
521 Franconian Dr E
Frankenmuth, MI 48734-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210309002593 | NV | Practitioner - Occupational Therapist in Private Practice | 1052727419 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6692 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1477091213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 FRANCONIAN DR E",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 FRANCONIAN DR E",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341003",
"telephone_number": "989-280-2895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIER",
"first_name": "MATTHEW",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankenmuth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.