Individual provider Active NPI

Alyssa Nicole Zeringue, PT, DPT

  • Physical Therapist
  • Simpsonville, SC
National Provider Identifier
1255115507
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12013 Issued in SC
Practice address
727 SE Main St Ste 200
Simpsonville, SC 29681-3262
Phone
(864) 454-6670
NPI assigned
Aug 18, 2023
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12013 SC Primary

Addresses

Primary practice location

727 SE Main St Ste 200
Simpsonville, SC 29681-3262

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231018003018 SC Practitioner - Physical Therapist in Private Practice 2365897824 Reassigns benefits to 1 organization
I20250409003584 LA Practitioner - Physical Therapist in Private Practice 2365897824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lagniappe Physical Therapy LLCGroup PAC ID 2961899307, 2 clinicians

Practice addresses (Care Compare)

810 S Saint Blaise LN
Youngsville, LA 70592-5581
Phone (337) 451-6385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Rehab Associates PLLC CurrentSince Apr 14, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 11, 2023 Accepting new patients
Lagniappe Physical Therapy LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

810 S Saint Blaise Ln
Youngsville, LA 70592
Phone (337) 451-6385

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

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

26865 Interstate 45
Ste 300
The Woodlands, TX 77380
Phone (281) 292-4800

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1255115507",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SE MAIN ST STE 200",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813262",
            "telephone_number": "864-454-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERINGUE",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.