Individual provider Active NPI

Matthew Lardieri

  • Occupational Therapist
  • Ellicott City, MD
National Provider Identifier
1982583464
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3421 Martha Bush Dr
Ellicott City, MD 21043-4426
Phone
(410) 465-1352
NPI assigned
Aug 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

3421 Martha Bush Dr
Ellicott City, MD 21043-4426

Mailing address

3507 Aston Manor CT Apt 102
Silver Spring, MD 20904-7223
Phone (410) 274-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209004474 DC Practitioner - Occupational Therapist in Private Practice 0941794762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Emeryville Dr
Suite 320
Cranberry Township, PA 16066-5023

3507 Aston Manor CT
Apt 102
Silver Spring, MD 20904-7223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Dec 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Dec 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist Current Accepting new patients
Linwood Center, Inc. PastSince Sep 3, 2025 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1982583464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 ASTON MANOR CT APT 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047223",
            "telephone_number": "410-274-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 MARTHA BUSH DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434426",
            "telephone_number": "410-465-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDIERI",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.