Individual provider Active NPI

Walt Perry Lingerfelt, PT

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1609024587
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5804 Issued in SC
Practice address
111 Doctors Dr
Greenville, SC 29605-5622
Phone
(864) 797-7020
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 5804 SC Primary

Addresses

Primary practice location

111 Doctors Dr
Greenville, SC 29605-5622

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000022 SC Practitioner - Physical Therapist in Private Practice 2668644915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

103 N Main St
Suite 201
Greenville, SC 29601-2756
Phone (864) 528-5753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Sep 20, 2011 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Sep 20, 2011 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations (25 of 26)

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2646 Boiling Springs Rd
Boiling Springs, SC 29316
Phone (864) 345-6714

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

905 Verdae Blvd
Ste 104
Greenville, SC 29607
Phone (864) 522-6100

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

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

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

103 N Main St
Greenville, SC 29601
Phone (864) 936-0502

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

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

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

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

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

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

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

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

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

2660 Reidville Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 576-3738

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

Organizations & group practices 3

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1609024587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055622",
            "telephone_number": "864-797-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGERFELT",
        "first_name": "WALT",
        "middle_name": "PERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5804",
            "primary": true
        }
    ],
    "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 Jan 30, 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.

Verify at the official NPI Registry.