MATTHEW HORNE (OTR/L) – Occupational Therapist, NPI 1639789092

MATTHEW HORNE (OTR/L) is a healthcare provider. based in Wayne, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 5201010689 (MI). The NPI Number for MATTHEW HORNE (OTR/L) is 1639789092

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW HORNE (OTR/L)
NPI
1639789092
Phone
(734) 716-2908
Address
4356 ELIZABETH ST
Enumeration Date
31 July 2020
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487884300
Graduation Year
2019 (7 years ago)
PAC ID
5698172476
Group Practice PAC ID
2860624103
Professional Enrollment ID
I20210921002323
Address ID
MI482371297OA25900RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MATTHEW HORNE (OTR/L)

  • 4356 ELIZABETH ST

    WAYNE, MI 481842154

    Phone: (734) 716-2908

    Type: Mailing

  • 2200 BERKLEY AVE APT 206B

    BERKLEY, MI 480721763

    Phone: (734) 716-2908

    Type: Mailing

  • 10201 E JEFFERSON AVE

    DETROIT, MI 482143149

    Phone: (888) 813-8326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210921002323IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48184)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860624103View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Clinical PsychologistMI
-MI
Clinical PsychologistMI
Physical Therapist In Private PracticeMI
Qualified Speech Language PathologistMI
Occupational Therapist In Private PracticeMI
Qualified Speech Language PathologistMI
-MI
-MI

Reviews

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Frequently asked questions

What number should I use to identify MATTHEW HORNE (OTR/L) for billing?
Administrative and clinical systems typically use NPI 1639789092 for MATTHEW HORNE (OTR/L).
Does the public listing show MATTHEW HORNE (OTR/L) as active?
MATTHEW HORNE (OTR/L)'s NPI record reflects an active status in NPPES.
Which specialty label fits MATTHEW HORNE (OTR/L)?
NPPES ties MATTHEW HORNE (OTR/L) to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MATTHEW HORNE (OTR/L) tied to Wayne, Michigan?
If you are local to Wayne, Michigan, MATTHEW HORNE (OTR/L) may be relevant to your search.
Why is information missing for MATTHEW HORNE (OTR/L)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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