Individual provider Active NPI

Don Scott Matthews, OT

  • Occupational Therapist
  • West Caldwell, NJ
National Provider Identifier
1508205873
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00074900 Issued in NJ
Practice address
31 Fairfield Ave
West Caldwell, NJ 07006-7603
Phone
(973) 771-1582
Fax
(973) 337-2213
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00074900 NJ Primary

Addresses

Primary practice location

31 Fairfield Ave
West Caldwell, NJ 07006-7603

Mailing address

31 Fairfield Ave
West Caldwell, NJ 07006-7603
Phone (973) 771-1582

Other practice location 1

274 South Ave
Fanwood, NJ 07023-1347
Phone (973) 771-1582

Other identifiers 1

IdentifierTypeStateIssuer
0659967MedicaidNJ

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00074900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Therapeutics, Inc Occupational Therapist CurrentSince Dec 15, 2019 Accepting new patients

Locations

31 Fairfield Ave
West Caldwell, NJ 07006
Phone (973) 303-9678

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1508205873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067603",
            "telephone_number": "973-771-1582",
            "fax_number": "973-337-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067603",
            "telephone_number": "973-771-1582",
            "fax_number": "973-337-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 South Ave",
            "address_purpose": "LOCATION",
            "city": "Fanwood",
            "state": "NJ",
            "postal_code": "070231347",
            "country_code": "US",
            "telephone_number": "973-771-1582",
            "fax_number": "973-337-2213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "DON",
        "middle_name": "SCOTT",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00074900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0659967",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.