Active NPI
Alexis W Lockyer, PT
- Physical Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4446
- Practice address
- 103 N Main St
Ste 300
Greenville, SC 29601-2796 - Phone
- (864) 528-5753
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4446 | SC | Primary |
| Physical Therapist | 225100000X | 9925 | TN |
Addresses
Primary practice location
103 N Main St
Ste 300
Greenville, SC 29601-2796
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650026189 | Other | SC | MEDICARE RAILROAD NUMBER |
| C5655 | Other | SC | MEDCOST NUMBER |
| 943423122 | Other | SC | PROVIDER NUMBER |
| 7796338 | Other | SC | AETNA |
| 354105600 | Other | SC | DEPT. OF LABOR NUMBER |
Other names 1
- Alexis Michelle Whitaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Grove Rd
Greenville, SC 29605-4649
Phone (864) 234-7654
180 Halton Rd
Greenville, SC 29607-3508
Phone (864) 220-4263
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
35 International Dr
Greenville, SC 29615-4816
Phone (864) 513-1136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4446 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Sports Spine & Industrial, Inc. | Physical Therapist | Past | Accepting new patients |
| St Francis Physician Services Inc | Past | Accepting new patients | |
| Elite Integrated Therapy Centers, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33205 Collection Ctr Dr
Chicago, IL 60693
103 N Main St
Ste 300
Greenville, SC 29601
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
35 International Dr
Greenville, SC 29615
Phone (864) 242-5020
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Physical Therapist
- Greenville, SC
- NPI 1184673600
-
- Physical Therapist
- Greer, SC
- NPI 1093748121
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1093720906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N MAIN ST",
"address_2": "STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012796",
"telephone_number": "864-528-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKYER",
"first_name": "ALEXIS",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4446",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9925",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD NUMBER",
"identifier": "650026189",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST NUMBER",
"identifier": "C5655",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "943423122",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7796338",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR NUMBER",
"identifier": "354105600",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "WHITAKER",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.