Matthew James Keuchler

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014442 Issued in NY

Practice address

29 Laurel Dr
Smithtown, NY 11787-3906

Phone

(516) 476-5406

NPI assigned

Aug 29, 2024

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1649004722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LAUREL DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873906",
            "telephone_number": "516-476-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LAUREL DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873906",
            "telephone_number": "516-476-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUCHLER",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Kennedy, PA
• Shannon Kennedy
• Evan Kessler, MD
• Meghan Kessler
• Deepthi Ketha
• Jamal Khan, DO
• Muhammad Mustafa Khan, MD
• Rashid Javed Khan, MD
• Shamim Ahmed Khan, M.D.
• Mickel L Khlat, DO

• Occupational Therapist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.