Individual provider Active NPI

Matthew McMillin, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1598197378
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8346 Issued in SC
Practice address
325 Folly Rd
Ste 516
Charleston, SC 29412-2507
Phone
(843) 762-0147
Fax
(843) 762-0421
NPI assigned
Aug 5, 2013
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8346 SC Primary
Physical Therapist 225100000X 12225 CO

Addresses

Primary practice location

325 Folly Rd
Ste 516
Charleston, SC 29412-2507

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502000282 SC Practitioner - Physical Therapist in Private Practice 6709163678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

1730 Savannah Hwy
Charleston, SC 29407-6255
Phone (843) 763-4115

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12225COMDPhysical Therapist
8346SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

1730 Savannah Hwy
Charleston, SC 29407
Phone (843) 763-4115

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

8950 University Blvd
Ste 200A
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

1718 State Rd
Ste 7D
Summerville, SC 29486
Phone (843) 303-9418

330 E 5th North St
Ste De
Summerville, SC 29483
Phone (843) 695-0326

606 Nexton Square Dr
Ste 304
Summerville, SC 29486
Phone (843) 376-5963

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1598197378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOLLY RD",
            "address_2": "STE 516",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122507",
            "telephone_number": "843-762-0147",
            "fax_number": "843-762-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8346",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "12225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.