MR. SAMUEL TRAVIS MATTOX OTR L
NPI 1750650768
Occupational Therapist - Hand in Anderson, SC

Active since December 20, 2011Accepts Medicare Assignment
100 HEALTHY WAY, SUITE 1110, ANDERSON, SC 29621(864) 261-3099(864) 261-6617 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Samuel Travis Mattox Otr L NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL TRAVIS MATTOX OTR L (NPI 1750650768) is an individual hand provider in Anderson, South Carolina, licensed in South Carolina (3437) and active in the NPI registry since December 2011. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1750650768
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameMR. SAMUEL TRAVIS MATTOXCredential: OTR L
Location Address100 HEALTHY WAY, SUITE 1110Anderson, SC 29621-7915
Mailing Address1483 Tobias Gadson Blvd, Suite 205bCharleston, SC 29407-4641 · (843) 766-6494 · Fax (843) 766-6495
Fax(864) 261-6617
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 20, 2011
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1750650768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in SC · 3437
100 HEALTHY WAY, Anderson, SC 29621

Other Identifiers 1

Medicare PINQ41045SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Samuel Travis Mattox Otr L is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799935136
PECOS Enrollment IDI20121022000232

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Mattox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Sports Medicine
100 HEALTHY WAY STE 1200
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 381 clinicians in this Medicare group
Physical Therapist
103 N MAIN ST, STE 99
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 433 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
582 services61 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
443 services48 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
72 services71 patients
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes 97760
This service involves learning to use an orthopedic device for your arm, leg, or trunk. The training lasts for 15 minutes and helps you understand how to properly use the device to support your recovery and enhance mobility.
69 services58 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
100 HEALTHY WAY, SUITE 1110
ANDERSON, SC 29621
Internal Medicine (Interventional Cardiology)
100 HEALTHY WAY, SUITE 1250
ANDERSON, SC 29621
Psychiatry & Neurology (Neurology)
100 HEALTHY WAY, SUITE 1240
ANDERSON, SC 29621
Psychiatry & Neurology (Neurology)
100 HEALTHY WAY, STE 1240
ANDERSON, SC 29621
Nurse Practitioner (Family)
100 HEALTHY WAY
ANDERSON, SC 29621
Psychiatry & Neurology (Neurology)
100 HEALTHY WAY, SUITE 1240
ANDERSON, SC 29621
Internal Medicine
100 HEALTHY WAY
ANDERSON, SC 29621
Clinic/Center (Rehabilitation)
100 HEALTHY WAY, SUITE 1110
ANDERSON, SC 29621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Mattox's NPI number?

The NPI number for Samuel Mattox is 1750650768. It was assigned to this individual provider in the NPPES registry on December 20, 2011.

Where is Samuel Mattox located?

Samuel Mattox practices at 100 Healthy Way Suite 1110, Anderson, SC 29621. The listed phone number is (864) 261-3099.

What is Samuel Mattox's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Samuel Mattox enrolled in Medicare?

Yes. Samuel Mattox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Mattox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Mattox reassigns Medicare benefits to 2 organizations: Anmed Health (Anderson, SC) and Greenville Proaxis Therapy, LLC (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Mattox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Mattox accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Samuel Mattox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Mattox was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.