Individual provider Active NPI

Madisyn Matzke, OTRL

  • Occupational Therapist
  • Saginaw, MI
National Provider Identifier
1760172639
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
5815 Bay Rd Ste 400
Saginaw, MI 48604-2542
Phone
(989) 799-6885
Fax
(989) 799-6890
NPI assigned
May 12, 2023
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

5815 Bay Rd Ste 400
Saginaw, MI 48604-2542

Mailing address

5815 Bay Rd Ste 400
Saginaw, MI 48604-2542
Phone (989) 799-6885

Other practice location 1

1289 S Linden Rd Ste A
Flint, MI 48532-3499
Phone (810) 230-9750

Other names 1

  • Madisyn Wirth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623000731 MI Practitioner - Occupational Therapist in Private Practice 1658739644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level Eleven SaginawGroup PAC ID 4981843703, 8 clinicians

Practice addresses (Care Compare)

5815 Bay Rd
Suite 400
Saginaw, MI 48604-2542
Phone (989) 799-6885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Max Well Therapy LLC Occupational Therapist CurrentSince Jun 2, 2023 Accepting new patients
Level Eleven Saginaw CurrentSince Dec 23, 2024 Accepting new patients
Max Well Therapy L.L.C. Occupational Therapist CurrentSince Jun 2, 2023 Accepting new patients

Locations

1289 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 230-9750

8263 S Saginaw St
Ste 5
Grand Blanc, MI 48439
Phone (810) 230-9750

5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1760172639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 BAY RD STE 400",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042542",
            "telephone_number": "989-799-6885",
            "fax_number": "989-799-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 BAY RD STE 400",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042542",
            "telephone_number": "989-799-6885",
            "fax_number": "989-799-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1289 S Linden Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323499",
            "country_code": "US",
            "telephone_number": "810-230-9750",
            "fax_number": "810-230-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATZKE",
        "first_name": "MADISYN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISYN",
            "last_name": "WIRTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.