Individual provider Active NPI

Matthew Grayson Tyler, PT, DPT

  • Physical Therapist
  • Chapin, SC
National Provider Identifier
1922882117
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016777 Issued in GA
Practice address
130 Amicks Ferry Rd Ste G
Chapin, SC 29036-9400
Phone
(803) 932-2176
NPI assigned
Aug 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 PT016777 GA Primary

Addresses

Primary practice location

130 Amicks Ferry Rd Ste G
Chapin, SC 29036-9400

Mailing address

6147 Jim Crow Rd
Flowery Branch, GA 30542-2507
Phone (678) 551-3264

Other practice location 1

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Other practice location 2

1411 S Potomac St Ste 400
Aurora, CO 80012-4540
Phone (303) 695-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WA, OR, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240405001002 SC Practitioner - Physical Therapist in Private Practice 7810335114 Reassigns benefits to 1 organization
I20240508004036 WA Practitioner - Physical Therapist in Private Practice 7810335114 Reassigns benefits to 1 organization
I20241126003520 OR Practitioner - Physical Therapist in Private Practice 7810335114 Reassigns benefits to 1 organization
I20250521001921 CO Practitioner - Physical Therapist in Private Practice 7810335114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016777GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Multicare Health System CurrentSince Apr 8, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
North Bend Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince May 19, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1411 S Potomac St
Ste 400
Aurora, CO 80012
Phone (303) 671-2140

1248 S Broadway
Denver, CO 80210
Phone (720) 699-9095

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

130 Amicks Ferry Rd
#G
Chapin, SC 29036
Phone (803) 932-2176

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 9

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1922882117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 JIM CROW RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422507",
            "telephone_number": "678-551-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 AMICKS FERRY RD STE G",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290369400",
            "telephone_number": "803-932-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 S Potomac St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124540",
            "country_code": "US",
            "telephone_number": "303-695-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MATTHEW",
        "middle_name": "GRAYSON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.