Individual provider Active NPI

Matthew Hannan, DPT

  • Sports Physical Therapist
  • Greenville, SC
National Provider Identifier
1023416989
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
9727 Issued in SC
Practice address
101 Woodruff Industrial LN
Greenville, SC 29607-4101
Phone
(864) 735-0593
NPI assigned
Dec 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT024126 PA
Orthopedic Physical Therapist 2251X0800X 25287 MD
Sports Physical Therapist 2251S0007X 9727 SC Primary

Addresses

Primary practice location

101 Woodruff Industrial LN
Greenville, SC 29607-4101

Mailing address

101 Woodruff Industrial LN
Greenville, SC 29607-4101
Phone (864) 735-0593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25287MDMDPharmacist
9727SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Flashpoint Performance LLC CurrentSince Apr 6, 2025 Accepting new patients
Orthology Mid-Atlantic Physical Therapy, Inc. PastSince Feb 28, 2017 Accepting new patients
Adventist Rehabilitation Hospital of Maryland, Inc Past Accepting new patients

Locations

101 Woodruff Industrial Ln
Greenville, SC 29607
Phone (864) 735-0593

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1023416989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODRUFF INDUSTRIAL LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074101",
            "telephone_number": "864-735-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOODRUFF INDUSTRIAL LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074101",
            "telephone_number": "864-735-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT024126",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "25287",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "SC",
            "license": "9727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.