Active NPI
Matthew Ryan Shiver, PT, DPT
- Physical Therapist
- Daniel Island, SC
National Provider Identifier
1720635501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.9863
- Practice address
- 885 Island Park Dr Ste C
Daniel Island, SC 29492-8392 - Phone
- (843) 860-9895
- NPI assigned
- Aug 26, 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 | PT.9863 | SC | Primary |
Addresses
Primary practice location
885 Island Park Dr Ste C
Daniel Island, SC 29492-8392
Mailing address
265 Saint Margaret St
Charleston, SC 29403-3542
Phone (843) 860-9895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.9863 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1720635501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 SAINT MARGARET ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294033542",
"telephone_number": "843-860-9895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 ISLAND PARK DR STE C",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294928392",
"telephone_number": "843-860-9895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIVER",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT.9863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daniel Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.