Organization Active NPI

Mator Therapy Services LLC

Doing business as Mator Therapy Services

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1942987862
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Dr. David Mator, DPTNPI 1558648097
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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927001900 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476907221 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.