Individual provider Active NPI

Matthew Garrett Ulcak

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1609368356
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7033 Saint Andrews Rd Ste 203
Columbia, SC 29212-1181
Phone
(803) 749-6759
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 Primary

Addresses

Primary practice location

7033 Saint Andrews Rd Ste 203
Columbia, SC 29212-1181

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2203

Other practice location 1

1718 Saint Julian Pl
Columbia, SC 29204-2410
Phone (803) 771-0370

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mulcak172592@direct.lexmed.com
Direct Messaging Address mulcak172592@direct.lexmed.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181112002250 SC Practitioner - Physical Therapist in Private Practice 3072867951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

7033 Saint Andrews Rd
Suite 104
Columbia, SC 29212-1180
Phone (803) 936-7230

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9283SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Mar 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince Mar 1, 2024 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

3016 Longtown Commons Dr
Ste 200
Columbia, SC 29229
Phone (803) 314-9640

7033 Saint Andrews Rd
Ste 203
Columbia, SC 29212
Phone (803) 732-5388

7033 Saint Andrews Rd
Ste 104
Columbia, SC 29212
Phone (803) 936-7230

3016 Longtown Commons Dr
Ste 105
Columbia, SC 29229
Phone (803) 314-0529

3016 Longtown Commons Dr
Ste 200A
Columbia, SC 29229

811 W Main St
Ste 205
Lexington, SC 29072
Phone (803) 358-6115

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Organizations & group practices 5

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1609368356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-791-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 SAINT ANDREWS RD STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121181",
            "telephone_number": "803-749-6759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Saint Julian Pl",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292042410",
            "country_code": "US",
            "telephone_number": "803-771-0370",
            "fax_number": "803-771-0371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULCAK",
        "first_name": "MATTHEW",
        "middle_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mulcak172592@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7033 Saint Andrews Rd Ste 203",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mulcak172592@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7033 Saint Andrews Rd Ste 203",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.