Matthew Prall

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

270 Route 28
Bridgewater, NJ 08807-1919

Phone

(813) 359-9400

NPI assigned

Sep 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgeway Care at Home LLCGroup PAC ID 6406198373, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bridgeway Care at Home, LLC

  • Geriatric Physical Therapist
  • Bridgewater, NJ
  • NPI 1104383421

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1891574950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071919",
            "telephone_number": "813-359-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRALL",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pontarollo
• Anna Posherstnik, APN-C
• Reyna Post
• Srinivasa Rao Potluri, MD
• Practical Insights, LLC
• Precious Care LLC
• Precision Digital Dentistry LLC
• Premier Medical Care LLC
• Premier Supports, LLC
• Premier Supports, LLC

• Occupational Therapist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.