Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW BLACK, OTD
Active Sole ProprietorMATTHEW BLACK, OTD is a Occupational Therapist healthcare provider located in FORT BENNING, Georgia. NPI 1093594319 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT BENNING, GA
Registration Details
- NPI Number
- 1093594319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2023 (2.8435842597156 yrs)
- Last Updated
- Jun 6, 2025
- License
-
OT009562 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5241 23RD INFANTRY REGIMENT ST BLDG 3410FORT BENNING, GA, 319055922Browse GA providers · Browse ZIP 31905
- Phone
- 5412267995
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in FORT BENNING, GA
| Name | Credential | NPI |
|---|---|---|
| AMELIA LEA BUTLER | DSC, OTR/L, CHT | 1306280227 |
| THOMAS GRANT COX | O.T. | 1457722688 |
| ALEXANDRIA BANDEL | OTR/L | 1073100525 |
| MRS. FRANCESCA MARIE SMORADA | OTR/L | 1811644776 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.