Active NPI
Ashley Mathew
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1669010237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024302
- Practice address
- 3391 Richmond Ave
Staten Island, NY 10312-2025 - Phone
- (718) 608-9170
- NPI assigned
- Dec 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 024302 | NY | Primary |
Addresses
Primary practice location
3391 Richmond Ave
Staten Island, NY 10312-2025
Mailing address
395 Buchanan Ave
Staten Island, NY 10314-4169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Buford Dr
Lawrenceville, GA 30043-2570
Phone (470) 397-5953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024302 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Occupational Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Current | Accepting new patients |
Locations
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812
2400 Buford Dr
Lawrenceville, GA 30043
Phone (229) 596-8965
Organizations & group practices 2
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.
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576281600000",
"number": "1669010237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 BUCHANAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3391 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122025",
"telephone_number": "718-608-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-14",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.