Individual provider Active NPI

Matthew Okoro, OTR/L

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1871141622
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1775 Grand Concourse
Bronx, NY 10453-8202
Phone
(718) 590-1800
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

1775 Grand Concourse
Bronx, NY 10453-8202

Mailing address

140 Erdman PL Apt 6a
Bronx, NY 10475-5321
Phone (646) 339-4160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317001053 NY Practitioner - Occupational Therapist in Private Practice 2860808821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Mercy College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theradynamics Rehab PT, OT and SLP, PLLCGroup PAC ID 4082045802, 63 clinicians

Practice addresses (Care Compare)

131 W 135TH St
New York, NY 10030-2922
Phone (646) 448-4900

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
75.36
Improvement activities
40
Cost
71.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Rehab. PT, OT & SLP, PLLC Occupational Therapist CurrentSince Dec 8, 2020 Accepting new patients
Theradynamics Physical Therapy Rehabilitation PC Past Accepting new patients

Locations

2148 Bartow Ave
Bronx, NY 10475
Phone (718) 316-9191

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

1000 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 409-8200

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

166 Fulton Ave
Ste 168
Hempstead, NY 11550

7627 37th Ave
Jackson Heights, NY 11372
Phone (718) 887-9888

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

1 Nagle Ave
#1
New York, NY 10040

3644 Broadway
Ste 48
New York, NY 10031

2229 Frederick Douglass Blvd
New York, NY 10027
Phone (212) 678-2200

131 W 135th St
New York, NY 10030
Phone (212) 281-8678

13240 Metropolitan Ave
Richmond Hill, NY 11418
Phone (718) 376-1111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1871141622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ERDMAN PL APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755321",
            "telephone_number": "646-339-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "718-590-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "MATTHEW",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.