Active NPIIndividual providerSole proprietor

Matthew W Resener, COTA

Occupational Therapy Assistant in Worcester, Massachusetts

NPI Number1194295618
Practice location
63 Malden St, Worcester, MA 01606-1005
Fax
—
Last updated
November 27, 2018

Matthew Wayne Resener is an Occupational Therapy Assistant based in Worcester, MA. Matthew Wayne Resener practices in Worcester, MA and has the professional credentials of COTA. The NPI Number for Matthew Wayne Resener is 1194295618 and holds a License No. 4102 (MA). The current practice location address for Matthew Wayne Resener is 63 Malden St, Worcester, MA 01606-1005 and can be reached out via phone at 508-615-2512.

Provider Profile Details

NPI Number
1194295618
Provider Name
Matthew Wayne Resener
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
63 Malden St, Worcester, MA 01606-1005
Phone Number
508-615-2512
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Other Names
Matthew Wayne Resener, COTA (Professional Name)
Provider Enumeration Date
November 27, 2018
Last Update Date
November 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Malden St
Worcester, MA 01606-1005
Zip
01606-1005
Phone Number
508-615-2512
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
63 Malden St
Worcester, MA 01606-1005
City
Worcester
State
MA
Zip
01606-1005
Phone Number
508-615-2512

License Information

License Number
4102
License State
MA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew W Resener, COTA?

The NPI number of Matthew W Resener, COTA is 1194295618. It was assigned on November 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Matthew W Resener, COTA?

Matthew W Resener, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 4102.

Where does Matthew W Resener, COTA practice?

The practice location is 63 Malden St, Worcester, MA 01606-1005. The office can be reached at 508-615-2512 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194295618 directly on the NPPES registry website.

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