Matthew James Smith, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003229 Issued in MI

Practice address

3491 S Huron Rd
Bay City, MI 48706-1547

Phone

(989) 667-6469

NPI assigned

Jul 2, 2012

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Great Lakes Therapeutics, LLC

  • Physical Medicine & Rehabilitation Physician
  • Bay City, MI
  • NPI 1629370663
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1942564265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BROADHEAD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428103",
            "telephone_number": "989-295-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 S HURON RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061547",
            "telephone_number": "989-667-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Smith
• Kevin Smith, O.T.R.
• Kristen Smith
• Laurie Smith
• Lily Grace Smith
• Megan Ann Smith, MA, LPC, DP-S, CAADC
• Mikayla Smith
• Mitchell Reed Smith
• Morgan Ray Smith
• Presleigh Nicole Smith

• Occupational Therapist in Bay City, MI
• Providers in Bay City, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.