Active NPI
Irene A Mathew, OTR
- Occupational Therapist
- Newark, DE
National Provider Identifier
1497277966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U1-0001653
- Practice address
- 501 S Harmony Rd
Newark, DE 19713-3338 - Phone
- (302) 266-9255
- NPI assigned
- Jul 16, 2017
- Sex
- Female
- 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 | U1-0001653 | DE | Primary |
Addresses
Primary practice location
501 S Harmony Rd
Newark, DE 19713-3338
Mailing address
222 Windward CT
Elkton, MD 21921-6239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0001653 | DE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Rehab LLC | Occupational Therapist | Current | Accepting new patients |
| Prestige Rehab PA PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
239 4th Ave
Ste 1401
Pittsburgh, PA 15222
Phone (215) 839-6096
Organizations & group practices 2
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": "1500163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1497277966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WINDWARD CT",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S HARMONY RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197133338",
"telephone_number": "302-266-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "IRENE",
"middle_name": "A",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-16",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0001653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.