Individual provider Active NPI

Matthew Michael Clark, PT

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1336216720
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4395 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
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4395 SC Primary

Addresses

Primary practice location

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

Mailing address

8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702
Phone (843) 671-7342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000034 SC Practitioner - Physical Therapist in Private Practice 2163436874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8 Hospital Ctr Blvd
Suite 250
Hilton Head Island, SC 29926-8702
Phone (843) 836-7342

Merit-based Incentive Payment System (MIPS)

Final score
57.2 of 100Reported as group
Quality
48.95
Improvement activities
20
Cost
75.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

8 Hospital Ctr
Ste 250
Hilton Head Island, SC 29926
Phone (843) 671-7342

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

Organizations & group practices 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1336216720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4395",
            "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 Nov 14, 2017; 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.