Active NPI
Matthew Carter Chambers, PT
- Physical Therapist
- Anderson, SC
National Provider Identifier
1609429059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3044
- Practice address
- 100 Healthy Way Ste 1110
Anderson, SC 29621-7915 - Phone
- (864) 512-6302
- Fax
- (864) 512-6305
- NPI assigned
- Jul 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3044 | SC | Primary |
Addresses
Primary practice location
100 Healthy Way Ste 1110
Anderson, SC 29621-7915
Mailing address
2413 Warriors Path
Anderson, SC 29621-4249
Phone (864) 556-9255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191102000247 | GA | Practitioner - Physical Therapist in Private Practice | 5991788309 | Reassigns benefits to 1 organization |
| I20221014000372 | SC | Practitioner - Physical Therapist in Private Practice | 5991788309 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3044 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Elite Integrated Therapy Centers, LLC | Physical Therapist | Current | Accepting new patients |
Locations
28 Chandler Ctr
Hartwell, GA 30643
Phone (706) 376-9852
2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023
1007 Grove Rd
#A
Greenville, SC 29605
1007 Grove Rd
#C
Greenville, SC 29605
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.
-
- Physical Therapist
- Greenville, SC
- NPI 1184673600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1609429059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 WARRIORS PATH",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214249",
"telephone_number": "864-556-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HEALTHY WAY STE 1110",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296217915",
"telephone_number": "864-512-6302",
"fax_number": "864-512-6305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "MATTHEW",
"middle_name": "CARTER",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.