Matthew P Anderson, PT
Individual provider Active NPI Physical Therapist · Columbia, SC
NPI 1992966162 · NPPES record last updated Jan 3, 2013
Key facts
- NPI
- 1992966162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5663 (SC)
- Practice address
- 6439 Garners Ferry Rd
Physical Medicine and Rehab Department
Columbia, SC 29209-1638 - Phone
- (803) 776-4000
- NPI assigned
- Jun 20, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy LLC | Past | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Proaxis Spartanburg, LLC | Physical Therapist | Past | Accepting new patients |
| Prisma Health University Medical Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5663 | SC | Yes |
Addresses
Primary practice location
6439 Garners Ferry Rd
Physical Medicine and Rehab Department
Columbia, SC 29209-1638
Mailing address
6439 Garners Ferry Rd
Physical Medicine and Rehab Department
Columbia, SC 29209-1638
Phone (803) 776-4000
Other providers in Columbia, SC
- Joshua Anderson
- Joyece Anderson
- Julie Nina Anderson
- Justin Anderson
- Marilyn Jane Anderson
- Michelle Anderson
- Odette Adean Anderson
- Robin Y Anderson
- Shanta Anderson
- Tyra Anderson
All providers in Columbia, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.