Active NPI
Matthew T Lizza, OTR/L
- Occupational Therapist
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201011220
- Practice address
- 27655 Middlebelt Rd Ste 130
Farmington Hills, MI 48334-5029 - Phone
- (248) 318-7912
- NPI assigned
- Sep 2, 2021
- Sex
- Male
- 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 | 5201011220 | MI | Primary |
Addresses
Primary practice location
27655 Middlebelt Rd Ste 130
Farmington Hills, MI 48334-5029
Mailing address
27655 Middlebelt Rd Ste 130
Farmington Hills, MI 48334-5029
Phone (248) 318-7912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201011220 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolanos Associates, LLC. | Occupational Therapist | Current | Accepting new patients |
| Human Performance and Rehabilitation Centers, LLC | Occupational Therapist | Current | Accepting new patients |
| Human Performance and Rehabilitation Centers LLC | Current | Accepting new patients | |
| Human Performance and Rehabilitation Centers, LLC | Current | Accepting new patients |
Locations
4801 S University Dr
Ste 101
Davie, FL 33328
Phone (786) 259-0300
13335 SW 124th St
Ste 202
Miami, FL 33186
Phone (786) 259-0300
1150 NW 72nd Ave
Ste 720
Miami, FL 33126
Phone (305) 599-1990
7340 NW 5th St
Plantation, FL 33317
Phone (786) 259-0300
15751 Sheridan St
Southwest Ranches, FL 33331
Phone (786) 877-2039
788 Prince Ave
Ste C
Athens, GA 30606
Phone (706) 453-2111
6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927
6801 River Rd
Ste 302
Columbus, GA 31904
Phone (706) 507-3349
6298 Veterans Pkwy
Ste 5B
Columbus, GA 31909
Phone (706) 225-0380
2515 Double Churches Rd
Ste 300
Columbus, GA 31909
1157 West Ave SW
#B
Conyers, GA 30012
Phone (770) 922-2120
1883 McDonough Rd
Ste C
Lovejoy, GA 30228
Phone (760) 219-4631
909 Eagles Landing Pkwy
Ste 430
Stockbridge, GA 30281
Phone (770) 506-6993
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 4
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
- Columbus, GA
- NPI 1104415983
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1427288851
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1891583654
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1376135707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1710655899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27655 MIDDLEBELT RD STE 130",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345029",
"telephone_number": "248-318-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27655 MIDDLEBELT RD STE 130",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345029",
"telephone_number": "248-318-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZZA",
"first_name": "MATTHEW",
"middle_name": "T",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201011220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.