Active NPI
Matthew Fansler, PT, DPT
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1942868062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16063
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9675 | SC | MD | Physical Therapist |
| 16063 | TN | MD | Physical 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.