Individual provider Active NPI

Matthew Tyler Johnson, PT, DPT, ATC

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1306377288
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP060058T Issued in SC
Practice address
8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702
Phone
(843) 671-7342
Fax
(843) 671-7343
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030634 PA
Physical Therapist 225100000X CP050296T NJ
Physical Therapist 225100000X CP060058T SC Primary

Addresses

Primary practice location

8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702

Mailing address

1300 W Sam Houston Pkwy S Ste 300
Houston, TX 77042-2453
Phone (843) 671-7342

Other practice location 1

713 Mill Grove Dr
Audubon, PA 19403
Phone (610) 715-0072

Other practice location 2

840 Helen Dr Ste 200
Lebanon, PA 17042-7456
Phone (717) 270-5465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220912000169 PA Practitioner - Physical Therapist in Private Practice 7315322484 Reassigns benefits to 4 organizations
I20251219000112 NJ Practitioner - Physical Therapist in Private Practice 7315322484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

4622 Black Horse Pike
Mays Landing, NJ 08330-3214
Phone (609) 909-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Oct 27, 2025 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Oct 27, 2025 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4622 Black Horse Pike
Mays Landing, NJ 08330
Phone (609) 893-1200

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

840 Helen Dr
Ste 200
Lebanon, PA 17042
Phone (717) 270-5465

101 N Monroe St
#2
Media, PA 19063
Phone (484) 444-0135

1083 W Baltimore Pike
Ste E
Media, PA 19063
Phone (484) 214-4080

101 N Monroe St
Media, PA 19063
Phone (484) 444-0135

1083 W Baltimore Pike
Bldg C106
Media, PA 19063
Phone (484) 214-4080

7720 W Chester Pike
Upper Darby, PA 19082
Phone (610) 924-6100

7720 W Chester Pike
Ste 2
Upper Darby, PA 19082
Phone (610) 924-6100

Organizations & group practices 9

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1306377288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422453",
            "telephone_number": "843-671-7342",
            "fax_number": "843-671-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD STE 250",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299268702",
            "telephone_number": "843-671-7342",
            "fax_number": "843-671-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Mill Grove Dr",
            "address_purpose": "LOCATION",
            "city": "Audubon",
            "state": "PA",
            "postal_code": "19403",
            "country_code": "US",
            "telephone_number": "610-715-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Helen Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427456",
            "country_code": "US",
            "telephone_number": "717-270-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "TYLER",
        "credential": "PT,  DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030634",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "CP050296T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP060058T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.