Marcus Matthews, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.008266 Issued in IL

Practice address

21348 Kildare Ave
Matteson, IL 60443-2350

Phone

(773) 354-1547

NPI assigned

Mar 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Oshkosh, WI
  • NPI 1386381598

  IL, Occupational Therapist

  Medicare reassignment NPD
• Chicago Therapeutic Interventions

  • Occupational Therapist
  • Romeoville, IL
  • NPI 1104633460
  NPD Authorized official
• Step Globally

  • Community/Behavioral Health Agency
  • Park Forest, IL
  • NPI 1760330021
  NPD Authorized official
• Empowerme Rehabilitation Illinois, LLC

  • Occupational Therapist
  • Edwardsville, IL
  • NPI 1679098263
  Medicare reassignment
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Belleville, IL
  • NPI 1174118103
  Medicare reassignment
• Empowerme Rehabilitation Illinois, LLC

  • Multi-Specialty Clinic/Center
  • Kokomo, IN
  • NPI 1023618956
  Medicare reassignment
• Moore Professional Childcare and Learning Center

  dba Litehouse Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Blue Island, IL
  • NPI 1093018830
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1962725515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21348 KILDARE AVE",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432350",
            "telephone_number": "773-354-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21348 KILDARE AVE",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432350",
            "telephone_number": "773-354-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21263 Longview Dr",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604238878",
            "country_code": "US",
            "telephone_number": "773-354-1547 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MARCUS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "056.008266",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.008266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olufemi Matimoju
• Matteson MRI Inc
• Matteson Orthodontics MDPC
• Matteson Orthodontics MDPC
• Matteson School District 162
• Maxim Healthcare Services, Inc.
• Mays & Associates Full Court Program LLC
• Mays and Associates, Inc.
• Kalani McCain
• Regina B. McClure, LCPC, NCSP

• Occupational Therapist in Matteson, IL
• Providers in Matteson, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.