Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ifeanyi Matthew, OTA

Individual provider Occupational Therapy Assistant · NPI 1114296597

Ifeanyi Matthew, OTA is an Occupational Therapy Assistant in Yonkers, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

1156 N Broadway
Yonkers, NY 10701-1108
Phone: (914) 965-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 007024 (NY)

Record details

NPI number1114296597
Entity typeIndividual (Type 1)
GenderMale
Credentials OTA
Sole proprietorYes
NPI enumeratedDecember 14, 2011
Last updated in NPPESDecember 14, 2011

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