Active NPI
Matthew Martin, OCCUPATIONAL THERAPY
- Occupational Therapist
- Angola, NY
National Provider Identifier
1548749641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023400
- Practice address
- 8685 Erie Rd
Angola, NY 14006 - Phone
- (716) 549-4454
- NPI assigned
- Aug 9, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 023400 | NY | Primary |
Addresses
Primary practice location
8685 Erie Rd
Angola, NY 14006
Mailing address
155 Washington Ave
Cobleskill, NY 12043-4704
Phone (518) 234-4032
Other practice location 1
3767 Delaware Ave
Kenmore, NY 14217-1040
Phone (716) 874-6175
Other practice location 2
3767 Delaware Ave
Kenmore, NY 14217-1040
Phone (716) 874-6175
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physical & Occupational Therapists, PLLC | Occupational Therapist | Past | Accepting new patients |
| Cobleskill-Richmondville Central School | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Kenmore, NY
- NPI 1538378039
-
- Local Education Agency (LEA)
- Cobleskill, NY
- NPI 1518022375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1548749641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WASHINGTON AVE",
"city": "COBLESKILL",
"state": "NY",
"postal_code": "120434704",
"telephone_number": "518-234-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8685 ERIE RD",
"city": "ANGOLA",
"state": "NY",
"postal_code": "14006",
"telephone_number": "716-549-4454"
}
],
"practiceLocations": [
{
"address_1": "3767 Delaware Ave",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "NY",
"postal_code": "142171040",
"country_code": "US",
"telephone_number": "716-874-6175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3767 Delaware Ave",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "NY",
"postal_code": "142171040",
"country_code": "US",
"telephone_number": "716-874-6175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "MATTHEW",
"credential": "OCCUPATIONAL THERAPY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-09",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.