Individual provider Active NPI

Matthew Jeremiah Schiffman, BA, LMT, OTR/L

  • Hand Occupational Therapist
  • Portland, OR
National Provider Identifier
1912232570
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
382931 Issued in OR
Practice address
6211 SE 44TH Ave
Portland, OR 97206-7020
Phone
(206) 612-5721
NPI assigned
Oct 14, 2009
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 382931 OR Primary
Mechanotherapist 172M00000X 16588 OR

Addresses

Primary practice location

6211 SE 44TH Ave
Portland, OR 97206-7020

Mailing address

6211 SE 44TH Ave
Portland, OR 97206-7020
Phone (206) 612-5721

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)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
16588ORMDMechanotherapist
382931ORMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1912232570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 SE 44TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067020",
            "telephone_number": "206-612-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 SE 44TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067020",
            "telephone_number": "206-612-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFMAN",
        "first_name": "MATTHEW",
        "middle_name": "JEREMIAH",
        "name_prefix": "Mr.",
        "credential": "BA, LMT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2021-04-21",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "382931",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "16588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.