Magnolia Physical Therapy,PA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1309 Issued in SC

Legal business name

MAGNOLIA PHYSICAL THERAPY,PA

Practice address

108 Montgomery Dr
Anderson, SC 29621-3334

Phone

(864) 226-3333

Fax

(864) 225-6551

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Prof. Matthew P. Brandel, PTNPI 1326229634

Title

Physical Therapist

Phone

(864) 226-3333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew P. Brandel, P.T.

  • Specialist
  • Anderson, SC
  • NPI 1326229634
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053484824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "864-226-3333",
            "fax_number": "864-225-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "864-226-3333",
            "fax_number": "864-225-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PHYSICAL THERAPY,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-226-3333",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praveen Reddy Madadi, MD
• Barry H Maddox, M.D.
• Tiara C Madric, BD,PD,
• Michael Magaha, RPH
• Ryan Michael Magg, D.D.S.
• Mainstream Therapeutic Services LLC
• Christina Devault Majors, DPT
• Karen Mak, O.D.
• Susan Makison
• Rajeev Malik, M.D.

• Physical Therapy Clinic/Center in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.