Active NPI
Brandon Matics, PT, DPT
- Physical Therapist
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP052891T
- Practice address
- 103 Professional Park Dr
Conway, SC 29526-9261 - Phone
- (843) 353-3460
- NPI assigned
- Sep 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017400 | GA | |
| Physical Therapist | 225100000X | CP052891T | SC | Primary |
Addresses
Primary practice location
103 Professional Park Dr
Conway, SC 29526-9261
Mailing address
1639 Summit Glen Cir
Loganville, GA 30052-5405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Philadelphia Col of Osteo Med, Sewanee, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 353-3460
4754 Martin Rd
Suite 200
Flowery Branch, GA 30542-3507
Phone (770) 967-4377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP052891T | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosc, LLC | Current | Accepting new patients | |
| Back in the Game Physical Therapy, Inc | Current | Accepting new patients | |
| Orthosc, LLC | Current | Accepting new patients | |
| Northeast Georgia Rehabilitation Center,Inc | Past | Accepting new patients |
Locations
2300 Liam Ave
Ste 104
Dacula, GA 30019
Phone (470) 294-0052
4754 Martin Rd
#200
Flowery Branch, GA 30542
Phone (770) 967-4377
2480 Limestone Pkwy
Ste 107
Gainesville, GA 30501
Phone (770) 967-4377
2800 Horizon Ridge Ct
Ste 250
Suwanee, GA 30024
Phone (678) 505-1995
103 Professional Park Dr
Conway, SC 29526
Phone (843) 335-3346
210 Village Center Blvd
Ste 100
Myrtle Beach, SC 29579
Phone (843) 491-4937
Interoperability endpoints
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Murrells Inlet, SC
- NPI 1861902728
-
- Physical Therapy Clinic/Center
- Flowery Branch, GA
- NPI 1962669275
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Physical Therapy Clinic/Center
- Royston, GA
- NPI 1821008087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1922834191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 SUMMIT GLEN CIR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300525405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PROFESSIONAL PARK DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269261",
"telephone_number": "843-353-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATICS",
"first_name": "BRANDON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-12",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "CP052891T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.