Active NPI
Matthew Edward Reasinger, COTA
- Occupational Therapy Assistant
- Charlotte, NC
National Provider Identifier
1689828758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6496
- Practice address
- 2801 Westbury Lake Dr
Apt S
Charlotte, NC 28269-2234 - Phone
- (814) 661-9431
- NPI assigned
- Nov 15, 2008
- 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 Therapy Assistant | 224Z00000X | 6496 | NC | Primary |
Addresses
Primary practice location
2801 Westbury Lake Dr
Apt S
Charlotte, NC 28269-2234
Mailing address
2801 Westbury Lake Dr
Apt S
Charlotte, NC 28269-2234
Phone (814) 661-9431
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 |
|---|---|---|---|
| 6496 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matts Mediride | Current | Accepting new patients |
Organizations & group practices 1
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.
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- Cornelius, NC
- NPI 1710843222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226707200000",
"number": "1689828758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 WESTBURY LAKE DR",
"address_2": "APT S",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692234",
"telephone_number": "814-661-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 WESTBURY LAKE DR",
"address_2": "APT S",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692234",
"telephone_number": "814-661-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REASINGER",
"first_name": "MATTHEW",
"middle_name": "EDWARD",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-15",
"last_updated": "2008-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "6496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.