Active NPI
Matthew W Delay, C.PED.
- Pedorthist
- Ontario, OH
National Provider Identifier
1821784299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- CPED1306
- Practice address
- 2149 Stumbo Rd
Ontario, OH 44906-1265 - Phone
- (419) 512-9841
- Fax
- (419) 775-5861
- NPI assigned
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C22312 | OH | |
| Orthotist | 222Z00000X | LO.00382 | OH | |
| Pedorthist | 224L00000X | CPED1306 | OH | Primary |
Addresses
Primary practice location
2149 Stumbo Rd
Ontario, OH 44906-1265
Mailing address
2149 Stumbo Rd
Ontario, OH 44906-1265
Phone (419) 512-9841
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C22312 | OH | MD | Orthotist |
| LO.00382 | OH | MD | Orthotist |
| CPED1306 | OH | MD | Pedorthist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpoint Prosthetics & Orthotics, Inc. | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Ontario, OH
- NPI 1003391939
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1821784299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 STUMBO RD",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061265",
"telephone_number": "419-512-9841",
"fax_number": "419-775-5861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2149 STUMBO RD",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061265",
"telephone_number": "419-512-9841",
"fax_number": "419-775-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAY",
"first_name": "MATTHEW",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "C.PED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-17",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "OH",
"license": "C22312",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "OH",
"license": "LO.00382",
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "OH",
"license": "CPED1306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.