Mary Mattis P T Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MARY MATTIS P T INC

Doing business as

Fit2MoveWell

Practice address

465 Greenwich Dr
Aiken, SC 29803-6541

Phone

(386) 846-7062

Fax

(386) 917-1915

NPI assigned

Jan 3, 2019

Last updated

Apr 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Mattis, PTNPI 1780817148

Title

Owner

Phone

(386) 846-7062

Specialties & licenses 1

Addresses

Other names 1

• Fit2MoveWell Doing business as

Locations

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.

• Mary Mattis, P.T.

  • Physical Therapist
  • Aiken, SC
  • NPI 1780817148
  NPD Authorized official

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1518430339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 GREENWICH DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036541",
            "telephone_number": "386-846-7062",
            "fax_number": "386-917-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 GREENWICH DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036541",
            "telephone_number": "386-846-7062",
            "fax_number": "386-917-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 S Nova Rd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "South Daytona",
            "state": "FL",
            "postal_code": "321192514",
            "country_code": "US",
            "telephone_number": "386-846-7062",
            "fax_number": "386-917-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY MATTIS P T INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-846-7062",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fit2MoveWell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne R. Martin, PAC
• Victoriya D Martin, PHARMD
• Holly Martinez de Andino, RN
• Juanita Maria Martinez, MSW
• Tiffany Martinez, COTA
• Laura Mason, LPC
• Nathan Massey
• Richard V. Massie, MD
• Heather C. Mathis, PA
• Calen Briana Matos, BSN, RN, CPNP-PC

• Physical Therapy Clinic/Center in Aiken, SC
• Providers in Aiken, 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 Apr 1, 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.