Active NPI
Matthew Ban, OTRL
- Occupational Therapist
- Belleville, MI
National Provider Identifier
1629570601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 678 E Huron River Dr
Belleville, MI 48111-3668 - Phone
- (734) 600-9949
- NPI assigned
- Mar 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 5201004580 | MI |
Addresses
Primary practice location
678 E Huron River Dr
Belleville, MI 48111-3668
Mailing address
10928 Balfour Ave
Allen Park, MI 48101-1163
Phone (734) 600-9949
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201004580 | MI | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1629570601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10928 BALFOUR AVE",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481011163",
"telephone_number": "734-600-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 E HURON RIVER DR",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481113668",
"telephone_number": "734-600-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAN",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-06",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MI",
"license": "5201004580",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.