Individual provider Active NPI

William Lewis Patterson, DPT

  • Physical Medicine & Rehabilitation Physician
  • Clemson, SC
National Provider Identifier
1063094845
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
10594 Issued in SC
Practice address
5001 Old Greenville Highway
Suite 1
Clemson, SC 29631
Phone
(864) 722-6037
NPI assigned
Apr 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10594 SC Primary

Addresses

Primary practice location

5001 Old Greenville Highway
Suite 1
Clemson, SC 29631

Mailing address

5001 Old Greenville Highway
Suite 1
Clemson, SC 29631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616003179 SC Practitioner - Physical Therapist in Private Practice 0345640082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10594SCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC CurrentSince Apr 12, 2021 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Apr 12, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

10626 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0064

12023 N Radio Station Rd
#A
Seneca, SC 29678
Phone (864) 985-0770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1063094845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 OLD GREENVILLE HIGHWAY",
            "address_2": "SUITE 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 OLD GREENVILLE HIGHWAY",
            "address_2": "SUITE 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631",
            "telephone_number": "864-722-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "WILLIAM",
        "middle_name": "LEWIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "10594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.