Matthew Delost, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5201011293 Issued in MI

Practice address

4100 Lake Dr SE Ste 305
Grand Rapids, MI 49546-8292

Phone

(616) 267-9200

Fax

(616) 416-1002

NPI assigned

Feb 23, 2006

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Allendale, MI
  • NPI 1124122445
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1568438380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE STE 305",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292",
            "telephone_number": "616-267-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE STE 305",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292",
            "telephone_number": "616-267-9200",
            "fax_number": "616-416-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOST",
        "first_name": "MATTHEW",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201011293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Joseph Delong IV, MA, LLPC
• Janet Rabbitt Delong, PT
• Kelly Sue Delong, LMSW
• Kendra Deloof, LLMSW
• Kahana Delore, LMSW/CAADC
• Katheen Delp Higgins, LMSW, CGC
• Caitlin Delventhal, BSW
• Paul A Delyria, M.D.
• Megan Ann Demaagd-Rodriguez, FNP-C
• Elizabeth Demaagd, PNP-PC

• Hand Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Hand Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.