Danielle Matson
Individual provider Active NPI Occupational Therapy Assistant · Carson City, MI
NPI 1487217402 · NPPES record last updated Apr 16, 2019
Key facts
- NPI
- 1487217402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 620 N 2ND St
Carson City, MI 48811-9790 - Phone
- (989) 584-6100
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
620 N 2ND St
Carson City, MI 48811-9790
Mailing address
620 N 2ND St
Carson City, MI 48811-9790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205958019 | Medicaid | MI |
Other providers in Carson City, MI
- Brian Krause
- Bobbie J Leija
- John Gilbert Lundeen
- Monte Joseph Malek
- Kenneth Harry Markiewicz
- Matthew Haglund PC
- Lucia McElwain
- Jeffrey Jay Miller
- Patrick Myers
- Wanda Kay Myers
All providers in Carson City, MI · Occupational Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.