Active NPI
Matthew Scrabis, OTR/L
- Occupational Therapist
- Arcata, CA
National Provider Identifier
1669086054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21366
- Practice address
- 3455 Lake Way
Arcata, CA 95521-4921 - Phone
- (925) 360-6295
- NPI assigned
- Sep 2, 2020
- Last updated
- Sep 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 21366 | CA | Primary |
Addresses
Primary practice location
3455 Lake Way
Arcata, CA 95521-4921
Mailing address
3455 Lake Way
Arcata, CA 95521-4921
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 |
|---|---|---|---|
| 21366 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1669086054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 LAKE WAY",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LAKE WAY",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214921",
"telephone_number": "925-360-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRABIS",
"first_name": "MATTHEW",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.