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

Matthew Black, OTD

Individual provider Occupational Therapist · NPI 1093594319

Matthew Black, OTD is an Occupational Therapist in Fort Benning, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

See every abbreviation used in this directory →

Practice location Address checks out

5241 23rd Infantry Regiment St Bldg 3410
Fort Benning, GA 31905-5922
Phone: (541) 226-7995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 — (541) 226-7995

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT009562 (GA)

Record details

NPI number1093594319
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address6600 Van Aalst Blvd, Fort Benning, GA 31905-2102

Other providers in Fort Benning