Individual provider Active NPI

Brandon Matics, PT, DPT

  • Physical Therapist
  • Conway, SC
National Provider Identifier
1922834191
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP052891T Issued in SC
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

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250102000115 GA Practitioner - Physical Therapist in Private Practice 5698202794 Reassigns benefits to 1 organization
I20260331001070 SC Practitioner - Physical Therapist in Private Practice 5698202794 Reassigns benefits to 1 organization

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
Orthosc LLCGroup PAC ID 8022370030, 113 clinicians
Back in the Game Physical Therapy, IncGroup PAC ID 9133380082, 17 clinicians

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

LicenseStateTypeSpecialty
CP052891TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC CurrentSince Feb 23, 2026 Accepting new patients
Back in the Game Physical Therapy, Inc CurrentSince Sep 15, 2024 Accepting new patients
Orthosc, LLC CurrentSince Feb 23, 2026 Accepting new patients
Northeast Georgia Rehabilitation Center,Inc PastSince Sep 15, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.