Mathew Siracuse

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

017833-1 Issued in NY

Practice address

10714 North Rd
Perrysburg, NY 14129-9746

Phone

(716) 532-1049

Fax

(716) 532-0679

NPI assigned

Jan 29, 2016

Sex

Male

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Binghamton, NY
  • NPI 1316088941
  NPD

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1477911972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 NORTH RD",
            "city": "PERRYSBURG",
            "state": "NY",
            "postal_code": "141299746",
            "telephone_number": "716-532-1049",
            "fax_number": "716-532-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 NORTH RD",
            "city": "PERRYSBURG",
            "state": "NY",
            "postal_code": "141299746",
            "telephone_number": "716-532-1049",
            "fax_number": "716-532-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRACUSE",
        "first_name": "MATHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017833-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Ranee Pawlak, RN
• Patricia Beth Petersen, RN
• Helen Taylor Pine, PT
• Terri Lee Rosier
• Marissa Elizabeth Salemi, OTR/L
• Debra L Skinner, SLP
• Leanne M Sobilo
• State of New York Comptrollers Office
• State of New York Comptrollers Office
• Marianne Marie Swartz, SLP

• Occupational Therapist in Perrysburg, NY
• Providers in Perrysburg, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.

Verify at the official NPI Registry.