Active NPI
Vanslyke Physical Therapy, LLC
- Physical Medicine & Rehabilitation Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- VANSLYKE PHYSICAL THERAPY, LLC
- Practice address
- 180 Wingo Way Ste 106
Mount Pleasant, SC 29464-1810 - Phone
- (518) 332-1602
- NPI assigned
- Nov 9, 2021
- Last updated
- Nov 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew R Vanslyke, PT, DPT
- Title
- Physical Therapist
- Phone
- (518) 332-1602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
180 Wingo Way Ste 106
Mount Pleasant, SC 29464-1810
Mailing address
1425 Thayer PL
Mount Pleasant, SC 29466-9027
Phone (518) 332-1602
National Provider Directory
National Provider DirectoryLocations
1156 Bowman Rd
Unit 244
Mount Pleasant, SC 29464
Phone (843) 352-3488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Mount Pleasant, SC
- NPI 1578907739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1427714948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 THAYER PL",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669027",
"telephone_number": "518-332-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WINGO WAY STE 106",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641810",
"telephone_number": "518-332-1602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANSLYKE PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "VANSLYKE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "518-332-1602",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.