Active NPI
Home Modifications and Therapy Services LLC
- Environmental Modification Occupational Therapist
- Waxhaw, NC
National Provider Identifier
1780467316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- Legal business name
- HOME MODIFICATIONS AND THERAPY SERVICES LLC
- Practice address
- 3029 Arsdale Rd
Waxhaw, NC 28173-7151 - Phone
- (845) 548-9854
- NPI assigned
- Aug 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Schwartz, OTR/L
- Title
- Occupational Therapist/ Owner
- Phone
- (845) 548-9854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | Primary |
Addresses
Primary practice location
3029 Arsdale Rd
Waxhaw, NC 28173-7151
Mailing address
3029 Arsdale Rd
Waxhaw, NC 28173-7151
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1780467316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 ARSDALE RD",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3029 ARSDALE RD",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737151",
"telephone_number": "845-548-9854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME MODIFICATIONS AND THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/ OWNER",
"authorized_official_telephone_number": "845-548-9854",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.