Matrix Occupational Therapy PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

019568 Issued in NY

Legal business name

MATRIX OCCUPATIONAL THERAPY PC

Practice address

44 Westwood Rd S
Massapequa Park, NY 11762-1933

Phone

(347) 492-4932

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Vladislav Beylik, OTR/LNPI 1366821647

Title

President

Phone

(718) 510-4114

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladislav Beylik, OTR/L

  • Occupational Therapist
  • Massapequa Park, NY
  • NPI 1366821647
  NPD (past) Authorized official
• Alla Lesnov, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1780120162
  NPD (past)
• Phaedra Luna

  • Occupational Therapist
  • Selden, NY
  • NPI 1043615487
  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1730693573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WESTWOOD RD S",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621933",
            "telephone_number": "347-492-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WESTWOOD RD S",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621933",
            "telephone_number": "347-492-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "BEYLIK",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-510-4114",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Martucci, D.C.
• Maureen Ann Martus, O.D.
• Massapequa Oral & Maxillofacial Associates LLP
• Massapequa Park Acupuncture Wellness P.C.
• Massapequa Park Dental PLLC
• Ann D McCarthy, LCSW
• Sara McGowan, RPA-C
• Amy Elizabeth McGrath, LMSW
• Christina McMahon, CASAC-MASTER
• Mary Kathleen McMahon, LMHC

• Occupational Therapist in Massapequa Park, NY
• Providers in Massapequa Park, 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 Nov 30, 2017; 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.