Active NPI
Dillian Wayne McDonald, DPT
- Physical Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12693
- Practice address
- 11 Barkingham LN Ste C
Greenville, SC 29607-5905 - Phone
- (864) 881-1712
- NPI assigned
- Aug 17, 2021
- Sex
- Male
- 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 | 12693 | SC | Primary |
| Physical Therapist | 225100000X | LPT-31973 | AZ |
Addresses
Primary practice location
11 Barkingham LN Ste C
Greenville, SC 29607-5905
Mailing address
11 Barkingham LN Ste C
Greenville, SC 29607-5905
Phone (864) 881-1712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Barkingham LN
Suite C
Greenville, SC 29607-5905
Phone (864) 881-1712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31973 | AZ | MD | Physical Therapist |
| 12693 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purposed Physical Therapy, LLC. | Current | Accepting new patients | |
| Petkov Bodywork Therapy, LLC | Current | Accepting new patients | |
| Allone Healthcare LLC | Current | Accepting new patients | |
| 360 Physical Therapy LLC | Current | Accepting new patients | |
| 360 Physical Therapy, LLC | Current | Accepting new patients | |
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
4210 E Baseline Rd
Ste 106
Mesa, AZ 85206
Phone (480) 503-2373
11 Barkingham Ln
#C
Greenville, SC 29607
Phone (864) 881-1712
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Greenville, SC
- NPI 1396231551
-
- Specialist
- Scottsdale, AZ
- NPI 1932430949
-
- Physical Rehabilitation Occupational Therapist
- Glendale, AZ
- NPI 1386271690
-
- Specialist
- Mesa, AZ
- NPI 1073646980
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1952122061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1518633031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BARKINGHAM LN STE C",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075905",
"telephone_number": "864-881-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BARKINGHAM LN STE C",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075905",
"telephone_number": "864-881-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "DILLIAN",
"middle_name": "WAYNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-17",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12693",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 19, 2025; 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.