Individual provider Active NPI

Matthew Motes, DPT

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1780103457
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8787PT Issued in SC
Practice address
4 Hampton Hall Blvd
Bluffton, SC 29910-7812
Phone
(843) 837-1930
Fax
(843) 837-1931
NPI assigned
Sep 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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 8787PT SC Primary

Addresses

Primary practice location

4 Hampton Hall Blvd
Bluffton, SC 29910-7812

Mailing address

5609 La Roche Ave
Savannah, GA 31406-3114
Phone (706) 589-1608

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8787SCMDGeneral Practice Dentistry
8787PTSCMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1780103457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 LA ROCHE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063114",
            "telephone_number": "706-589-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAMPTON HALL BLVD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107812",
            "telephone_number": "843-837-1930",
            "fax_number": "843-837-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTES",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8787PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.