Matthew Angle, OT
Individual provider Active NPI Occupational Therapist · Lexington, KY
NPI 1942964804 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1942964804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 273628 (KY)
- Practice address
- 3401 Yorkshire Medical Park
Lexington, KY 40509-2513 - Phone
- (859) 263-5140
- Fax
- (859) 263-5141
- NPI assigned
- Oct 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bluegrass Orthopaedics PSC
Practice addresses (Care Compare)
3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Phone (859) 263-5140
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211103002535 | KY | Practitioner - Occupational Therapist in Private Practice | 6103214523 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Orthopaedics PSC | Occupational Therapist | Current |
Accepting new patients |
Locations
101 Windsor Path
Georgetown, KY 40324
Phone (502) 868-6106
3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803
1760 Harrodsburg Rd
Lexington, KY 40504
1868 Plaudit Pl
Lexington, KY 40509
Phone (859) 543-0002
3401 Yorkshire Medical Park
Lexington, KY 40509
195 Commercial Dr
London, KY 40744
1350 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 462-8016
145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195
111 Cynthia Dr
Ste 139
Nicholasville, KY 40356
850 Hail Knob Rd
#B
Somerset, KY 42503
Phone (270) 318-3399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 273628 | KY | Yes |
Addresses
Primary practice location
3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Mailing address
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 303-8803
Other practice location 1
195 Commercial Dr
London, KY 40744-8234
Phone (859) 263-5140
Other practice location 2
850 Hail Knob Rd Ste B
Somerset, KY 42503-3418
Phone (859) 263-5140
Other practice location 3
1760 Harrodsburg Rd
Lexington, KY 40504-3602
Phone (859) 263-5140
Other practice location 4
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140
Other practice location 5
1868 Plaudit Pl
Lexington, KY 40509-2429
Phone (859) 263-5140
Other practice location 6
101 Windsor Path
Georgetown, KY 40324-9617
Phone (859) 263-5140
Other practice location 7
145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (859) 263-5140
Other practice location 8
111 Cynthia Dr Ste 139
Nicholasville, KY 40356-8062
Phone (859) 263-5140
Other providers in Lexington, KY
- Madeline Maye Angel
- Angela C Dehart, LCSW
- Angela Costa, LLC
- Melissa Elizabeth Angell
- Linda B Angelo
- Shara Anglin
- Anjum Bux, M.D., P.S.C.
- Ahmad Anjum
- Reema Anjum
- Ankle and Foot Center of Central Kentucky, PLLC
All providers in Lexington, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.