Michael J Massucci

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT013047 Issued in OH

Practice address

965 High St
Worthington, OH 43085-4057

Phone

(614) 784-0400

NPI assigned

Apr 28, 2025

Last updated

Apr 28, 2025By 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

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Outpatient at Home LLC

  • Physical Therapy Clinic/Center
  • Worthington, OH
  • NPI 1629671003
  Medicare reassignment NPD
• Columbus Physical Therapy, LLC

  • Physical Therapist
  • Dublin, OH
  • NPI 1760827232
  NPD (past)

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1588452676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CROSSWINDS CT NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444846047",
            "telephone_number": "330-717-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854057",
            "telephone_number": "614-784-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSUCCI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT013047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Martin, MA, CCC, SLP
• Tanner Martin
• Kalie Martinez
• Essence Martina Mason
• Tyrell Armond Massey
• Bernard F Master, DO
• Dane Ross Mastrangelo
• Emilynn Mata
• Madison Mathis
• Matthew E Mancuso DC PS (Intrinsic Care Chiropractic)

• Occupational Therapist in Worthington, OH
• Providers in Worthington, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.

Verify at the official NPI Registry.