Matthew Boyd Harrell, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5991 Issued in NC

Practice address

77 Tupper Rd
Black Mountain, NC 28711-8446

Phone

(828) 808-7106

NPI assigned

Oct 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1669625315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 TUPPER RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287118446",
            "telephone_number": "828-808-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 TUPPER RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287118446",
            "telephone_number": "828-808-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "MATTHEW",
        "middle_name": "BOYD",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "10771",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "5991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halford
• Melinda Halford, P.T.
• Richard C Halford, PT
• Leighton Hannah
• Denise Mira Hansen, FNP
• Catherine Weir Hart, LPN
• Angela M Haviland
• Edwin Hawkins, LCSW
• Merissa Hawkins, PT
• Harskin Hayes Jr., PHARMD

• Occupational Therapy Assistant in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.