Individual provider Active NPI

Matthew Plen, OTR/L, DOR

  • Physical Rehabilitation Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1497253199
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Practice address
2 Franklin Town Blvd
Philadelphia, PA 19103-1238
Phone
(860) 597-3274
NPI assigned
Jan 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X Primary

Addresses

Primary practice location

2 Franklin Town Blvd
Philadelphia, PA 19103-1238

Mailing address

1500 Mount Vernon St Apt 3R
Philadelphia, PA 19130-3403
Phone (860) 597-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Touch at Home NJ LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1497253199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MOUNT VERNON ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303403",
            "telephone_number": "860-597-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN TOWN BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031238",
            "telephone_number": "860-597-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEN",
        "first_name": "MATTHEW",
        "credential": "OTR/L, DOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; 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.