Active NPI
Matthew Jason Ratz, M.ED.
- Developmentally Disabled Services Day Training Agency
- North Potomac, MD
National Provider Identifier
1780092221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 15-3470
- Practice address
- 16 Owens Glen CT
North Potomac, MD 20878-2368 - Phone
- (301) 646-6951
- NPI assigned
- Jul 29, 2014
- 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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 15-3470 | MD | Primary |
Addresses
Primary practice location
16 Owens Glen CT
North Potomac, MD 20878-2368
Mailing address
16 Owens Glen CT
North Potomac, MD 20878-2368
Phone (301) 646-6951
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-3470 | MD | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1780092221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 OWENS GLEN CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782368",
"telephone_number": "301-646-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 OWENS GLEN CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782368",
"telephone_number": "301-646-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATZ",
"first_name": "MATTHEW",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "MD",
"license": "15-3470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.