Active NPI
William Oliver Reeside III, DPT
- Orthopedic Physical Therapist
- Lexington, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 6268
- Practice address
- 109 Park Place CT
Lexington, SC 29072-6690 - Phone
- (803) 933-6784
- NPI assigned
- Aug 27, 2010
- Last updated
- Feb 5, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6268 | SC | |
| Physical Therapist | 225100000X | 12762 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 6268 | SC | Primary |
Addresses
Primary practice location
109 Park Place CT
Lexington, SC 29072-6690
Mailing address
1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12762 | Other | NC | NC BOARD OF PT EXAMINERS |
| 6268 | Other | SC | SC BOARD OF PT EXAMINERS |
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
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Park Place CT
Lexington, SC 29072-6690
Phone (803) 256-4107
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6268 | NC | MD | Psychologist |
| 6268 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midlands Orthopaedics and Neurosurgery, PA | Current | Accepting new patients | |
| Midlands Orthopaedics and Neurosurgery PA | Current | Accepting new patients | |
| Midlands Orthopaedics and Neurosurgery, PA | Past | Accepting new patients | |
| Healthquest Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
1910 Blanding St
Columbia, SC 29201
Phone (803) 253-6721
1013 Lake Murray Blvd
Irmo, SC 29063
Phone (803) 732-5887
109 Park Place Ct
Lexington, SC 29072
Phone (803) 933-6784
Interoperability endpoints
- william.reeside.1@5499.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1447235106
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1598659393
-
dba FYZICAL Therapy & Balance Centers
- Physical Therapy Clinic/Center
- Lexington, SC
- NPI 1437497187
Physical Therapist
-
- Orthopaedic Surgery Physician
- Irmo, SC
- NPI 1124096979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1720394760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 BLANDING ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013520",
"telephone_number": "803-256-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PARK PLACE CT",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290726690",
"telephone_number": "803-933-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESIDE",
"first_name": "WILLIAM",
"middle_name": "OLIVER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-27",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6268",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12762",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "6268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PT EXAMINERS",
"identifier": "12762",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC BOARD OF PT EXAMINERS",
"identifier": "6268",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
- Shearin McNeely Redfern, M.S.P. CFY-SLP
- Allison Phillips Reed, MSP, CCC-SLP
- Michael Elmo Reed, M.D.
- Samantha Martin Reed, M.S., C.F., S.L.P.
- Melissa Foster Reese, M.A., LPC/A
- Olivia Reichenbach
- Jona Mae Reinante, RN
- Michelle Ruth Reinsmith, MA, NCC, LPCA
- Elizabeth A Renwick, MD
- Resilient Physical Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.