Individual provider Active NPI

Samuel Travis Mattox, OTR L

  • Hand Occupational Therapist
  • Anderson, SC
National Provider Identifier
1750650768
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3437 Issued in SC
Practice address
100 Healthy Way
Suite 1110
Anderson, SC 29621-7915
Phone
(864) 261-3099
Fax
(864) 261-6617
NPI assigned
Dec 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3437 SC Primary

Addresses

Primary practice location

100 Healthy Way
Suite 1110
Anderson, SC 29621-7915

Mailing address

1483 Tobias Gadson Blvd
Suite 205B
Charleston, SC 29407-4641
Phone (843) 766-6494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000232 SC Practitioner - Occupational Therapist in Private Practice 5799935136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1200
Anderson, SC 29621-7916
Phone (864) 716-6140

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Greenville Proaxis Therapy, LLC CurrentSince Aug 1, 2016 Accepting new patients
Anmed Health CurrentSince Oct 4, 2021 Accepting new patients
Greenville Proaxis Therapy LLC Hand CurrentSince Aug 1, 2016 Accepting new patients
Anmed Health CurrentSince Oct 4, 2021 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

100 Healthy Way
Ste 1110
Anderson, SC 29621
Phone (864) 261-3099

100 Healthy Way
Ste 1200
Anderson, SC 29621
Phone (864) 260-9910

1520 E Greenville St
Ste G
Anderson, SC 29621
Phone (864) 224-6070

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1750650768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641",
            "telephone_number": "843-766-6494",
            "fax_number": "843-766-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1110",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-261-3099",
            "fax_number": "864-261-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "SAMUEL",
        "middle_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "3437",
            "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 Jan 25, 2016; 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.