MEDICARE: MATRIX REHABILITATION SOUTH CAROLINA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center
2	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1194743567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATRIX REHABILITATION SOUTH CAROLINA, INC.

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:	LEGAL DEPARTMENT
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:	717-972-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 WEST BUTLER ROAD
Second Line	:	SUITE A
City	:	GREENVILLE
State	:	SC
Zip	:	29607-4833
Country	:	US
Telephone Number	:	864-277-2747
Fax Number	:	864-277-7401

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN F DUGGAN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	10/23/2025

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