Matthew Thomas Daly, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018925 Issued in NY

Practice address

115 Alden Dr
Port Jefferson, NY 11777-1403

Phone

(631) 553-5605

NPI assigned

Aug 17, 2014

Last updated

Aug 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1730588690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ALDEN DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771403",
            "telephone_number": "631-553-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ALDEN DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771403",
            "telephone_number": "631-553-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC (CVS Pharmacy #02960)
• Suzanne D'Addona, LMSW
• Laura D'Andrea, LMSW
• Jonathan D'Costa
• Hadi Dahhan, DO
• Judith Damico
• Yvon Damour, M.D.
• Ashley Daniel
• Stacy Danon, LMSW
• Arlene Darcy, P.T.A.

• Occupational Therapist in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.