Matthew Horne, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010689 Issued in MI

Practice address

10201 E Jefferson Ave
Detroit, MI 48214-3149

Phone

(888) 813-8326

NPI assigned

Jul 31, 2020

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 MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Skills Village PLLCGroup PAC ID 2860624103, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Life Skills Village, PLLC

  • Community/Behavioral Health Agency
  • Oak Park, MI
  • NPI 1629316815
  Medicare reassignment Care Compare group NPD
• Diverge Community Services, LLC

  • Occupational Therapist
  • Flat Rock, MI
  • NPI 1174230270
  Medicare reassignment NPD
• Summit Psychiatric Services, P.L.C.

  dba Sierra Psychiatric Services

  • Specialist
  • Livonia, MI
  • NPI 1821042789
  Medicare reassignment NPD
• Neurospace LLC

  • Occupational Therapist
  • Saline, MI
  • NPI 1134088537
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1639789092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERKLEY AVE APT 206B",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721763",
            "telephone_number": "734-716-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143149",
            "telephone_number": "888-813-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "MATTHEW",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Horn, DNP, CRNA
• Kaila Leilani Horn
• Lawrence J Horn, MD
• Martrelon Azariea Horn
• Desmonet Horne
• Orest Horodysky, MD
• Derek Horride, RN
• Harriette M. Horst, M.D.
• Alexis D Horton, BA, SST
• Nichole Horton, CRNA

• Occupational Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.