Matrix Rehabilitation South Carolina, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MATRIX REHABILITATION SOUTH CAROLINA, INC

Practice address

444 Hampton Ave
Suite C & D
Pickens, SC 29671-2608

Phone

(864) 878-7965

Fax

(864) 878-6344

NPI assigned

Nov 6, 2014

Organization subpart

No

Name

Mr. Michael E Tarvin

Title

Vice President and Secretary

Phone

(717) 972-1100

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Matrix Rehabilitation -South Carolina Inc

  • Physical Therapy Clinic/Center
  • West Columbia, SC
  • NPI 1487946109

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1023034048

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Taylors, SC
  • NPI 1073539011

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1194743567

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1215956990

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Anderson, SC
  • NPI 1245367101

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Simpsonville, SC
  • NPI 1275559221

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1295751204

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1427463306

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Physical Therapy Clinic/Center
  • Greenville, SC
  • NPI 1700906187

  O20050609000158

  Same enrollment
• Matrix Rehabilitation South Carolina, Inc.

  • Rehabilitation Clinic/Center
  • Easley, SC
  • NPI 1881610988

  O20050609000158

  Same enrollment

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

• Select Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2018.

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1851797609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HAMPTON AVE",
            "address_2": "SUITE C & D",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712608",
            "telephone_number": "864-878-7965",
            "fax_number": "864-878-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION SOUTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milena Maragos, OTR/L
• Byron Patterson Marsh, M.D.
• Daniel Martin
• Teresa Massey, BSN
• Sherri Frady Matkovich, LPES
• Michael Douglas Mavis
• Dana M McCall, B.A.
• Cecilee Maelin McCloskey
• Kathy McGuffin, RN
• Sharon R McMahan

• All providers in Pickens, SC
• Rehabilitation Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.

Verify at the official NPI Registry.