Active NPI
Samuel Travis Mattox, OTR L
- Hand Occupational Therapist
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 3437
- 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
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 |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Greenville Proaxis Therapy LLC | Hand | Current | Accepting new patients |
| Anmed Health | Current | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Anderson, SC
- NPI 1104448208
-
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
Hand
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.