Active NPI
Mator Therapy Services LLC
Doing business as Mator Therapy Services
- Physical Therapy Clinic/Center
- Myrtle Beach, SC
National Provider Identifier
1942987862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MATOR THERAPY SERVICES LLC
- Practice address
- 4623 Planters Row Way
Myrtle Beach, SC 29579-3674 - Phone
- (843) 246-9881
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Mator, DPT
- Title
- Physical Therapist/Owner
- Phone
- (843) 246-9881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4623 Planters Row Way
Myrtle Beach, SC 29579-3674
Mailing address
4623 Planters Row Way
Myrtle Beach, SC 29579-3674
Phone (843) 246-9881
Other names 1
- Mator Therapy Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1942987862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 PLANTERS ROW WAY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793674",
"telephone_number": "843-246-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 PLANTERS ROW WAY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793674",
"telephone_number": "843-246-9881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATOR THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-01",
"status": "A",
"authorized_official_last_name": "MATOR",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "843-246-9881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mator Therapy Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mator Therapy Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.