Individual provider Active NPI

Ann M Matyas, OTR CHT LA-C

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1992864631
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2728-26 Issued in WI
Practice address
2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2318
Phone
(608) 294-6464
Fax
(608) 288-6496
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 2728-026 WI
Occupational Therapist 225X00000X 2728-26 WI Primary
Acupuncturist 171100000X 635-55 WI

Addresses

Primary practice location

2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2318

Mailing address

2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2318
Phone (608) 294-6464

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

State licenses

LicenseStateTypeSpecialty
635-55WIMDAcupuncturist
2728-26WIMDOccupational Therapist
2728-026WIMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1992864631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY",
            "address_2": "SUITE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132318",
            "telephone_number": "608-294-6464",
            "fax_number": "608-288-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY",
            "address_2": "SUITE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132318",
            "telephone_number": "608-294-6464",
            "fax_number": "608-288-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYAS",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "OTR CHT LA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "2728-026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2728-26",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "635-55",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.