Matthew Gryzlo, COTA
NPI 1417735788ActiveIndividual· Occupational Therapy Assistant· Phillipsburg, NJ
Occupational Therapy Assistant (COTA) in Phillipsburg, New Jersey, licensed in PA and NJ, with an NPI issued in September 2023.
Overview
| NPI | 1417735788 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA |
| Sole proprietor | No |
| NPI issued | Sep 18, 2023 |
| Last updated in NPPES | Sep 18, 2023 |
| Certified by provider | Sep 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OP010186 | PA |
| Occupational Therapy Assistant | 224Z00000X | 46TA09174000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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