DANIELLE CLARE MATUSZAK, COTA — NPI 1154830818 (Licensed & Credentialed Occupational Therapy Assistant in BLAIR, WI)

CMS-1500 Box 24J / 33a • NPI

1154830818

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

224Z00000X

Licensed & Credentialed Occupational Therapy Assistant

Box 32 Service Location & ZIP+4

620 GRANDVIEW AVE, BLAIR, WI, 54616-5461

✓ 9-Digit EDI 837 ZIP+4 (54616-5461)

Practice Phone & Referral Fax

(608) 989-2195

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1154830818 (DANIELLE CLARE MATUSZAK, COTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1154830818` (NPI-1 Individual Practitioner)
Provider / Legal Name	DANIELLE CLARE MATUSZAK, COTA
Plain-English Specialty	Licensed & Credentialed Occupational Therapy Assistant NUCC Code: `224Z00000X` (Occupational Therapy Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	620 GRANDVIEW AVE, BLAIR, WI, 54616-5461
Practice Telephone / Fax	Tel: (608) 989-2195
Administrative Mailing Address	1022 25TH ST S, LA CROSSE, WI, 54601-6091
Enumeration & Last Sync	Enumerated: 2017-09-26 \| CMS Record Updated: 2018-03-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

620 GRANDVIEW AVE, BLAIR, WI, 54616-5461

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Plain-English Taxonomy & CMS Crosswalk (224Z00000X)

What Does Taxonomy Code 224Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224Z00000X translates to:
"Licensed & Credentialed Occupational Therapy Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Occupational Therapy Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DANIELLE CLARE MATUSZAK, COTA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`224Z00000X` — Occupational Therapy Assistant Plain English: Licensed & Credentialed Occupational Therapy Assistant	State: WI \| License: `5445-27` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DANIELLE CLARE MATUSZAK, COTA (NPI #1154830818)