Individual provider Active NPI

Matthew Fansler, PT, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1942868062
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16063 Issued in TN
Practice address
10670 Parkside Dr Ste 106
Knoxville, TN 37922-1906
Phone
(865) 671-4466
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 16063 TN Primary
Physical Therapist 225100000X 9675 SC

Addresses

Primary practice location

10670 Parkside Dr Ste 106
Knoxville, TN 37922-1906

Mailing address

10670 Parkside Dr Ste 106
Knoxville, TN 37922-1906
Phone (865) 671-4466

Other practice location 1

214 Saint James Ave Ste 140B
Goose Creek, SC 29445-2974
Phone (843) 793-4466

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
9675SCMDPhysical Therapist
16063TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1942868062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 PARKSIDE DR STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221906",
            "telephone_number": "865-671-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 PARKSIDE DR STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221906",
            "telephone_number": "865-671-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Saint James Ave Ste 140B",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294452974",
            "country_code": "US",
            "telephone_number": "843-793-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANSLER",
        "first_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16063",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

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