Individual ProviderMatthew FanslerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address214 Saint James Ave Ste 140b, Goose Creek, SC 29445-2974(843) 793-4466PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Fansler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942868062Provider TypeIndividualFull NameFansler, MatthewGenderMaleSole ProprietorNoEnumeration Date6/4/2019Last Updated6/4/2019Contact InformationPractice LocationPractice Address214 Saint James Ave Ste 140b, Goose Creek, SC 29445-2974Phone(843) 793-4466FaxUnlisted FaxMailing LocationMailing Address214 Saint James Ave Ste 140b, Goose Creek, SC 29445-2974Phone(843) 793-4466FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense9675South Carolina