Mathew Clark, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12364 Issued in SC

Practice address

3093 S Highway 14 Ste G
Greer, SC 29650-4830

Phone

(864) 263-7390

Fax

(864) 326-3255

NPI assigned

Jun 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zone Physical Therapy LLCGroup PAC ID 3678803111, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Zone Physical Therapy, LLC

  • Physical Therapist
  • Greer, SC
  • NPI 1285298588
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1053156612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 S HIGHWAY 14",
            "address_2": "STE G",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504830",
            "telephone_number": "864-263-7390",
            "fax_number": "864-326-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 S HIGHWAY 14 STE G",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504830",
            "telephone_number": "864-263-7390",
            "fax_number": "864-326-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MATHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Cimino
• Circle of Life Nursing Agency, LLC
• Clarity Counseling, LLC
• Gabriel Clark
• Julia Clark
• Najm Clark
• Shane Clark, A.T.,C.
• Talicia Clarke, NURSE AIDE
• Ernest Earl Clayton
• Carlson Cole Clelland, MSP, CCC-SLP

• Physical Therapist in Greer, SC
• Providers in Greer, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.