Matthew Carl Wright, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-7338 Issued in FL

Practice address

6052 Pebble Beach Blvd
Winter Haven, FL 33884-3601

Phone

(863) 412-1611

NPI assigned

Aug 18, 2008

Last updated

Mar 17, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891941233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 BLUFF LOOP",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384401",
            "telephone_number": "863-471-9989",
            "fax_number": "863-471-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6052 PEBBLE BEACH BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843601",
            "telephone_number": "863-412-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 Bluff Loop",
            "address_purpose": "LOCATION",
            "city": "Dundee",
            "state": "FL",
            "postal_code": "338384401",
            "country_code": "US",
            "telephone_number": "863-412-1611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338703654",
            "country_code": "US",
            "telephone_number": "863-471-9989",
            "fax_number": "863-471-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MATTHEW",
        "middle_name": "CARL",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA-7338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Yakovets

• Occupational Therapy Assistant in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.