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

Mr. Gary C Matthesen, MPAOTR

Individual provider Specialist · NPI 1194023309

Mr. Gary C Matthesen, MPAOTR is a Specialist in Whitestone, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

15050 14th Rd
Whitestone, NY 11357-2609
Phone: (718) 767-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Specialist Taxonomy 174400000X · Licence 387-1 (NY)

Record details

NPI number1194023309
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAOTR
Sole proprietorYes
NPI enumeratedMarch 11, 2011
Last updated in NPPESFebruary 20, 2019

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