DR. DUREECE LUCILLE LINGWALL (DPT,OCS) – Orthopedic Physical Therapist, NPI 1063638856

DR. DUREECE LUCILLE LINGWALL (DPT,OCS) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT,OCS. They hold a License No. 4890977-2401 (UT). The NPI Number for DR. DUREECE LUCILLE LINGWALL (DPT,OCS) is 1063638856

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUREECE LUCILLE LINGWALL (DPT,OCS)
NPI
1063638856
Phone
(801) 587-7005
Address
590 S Wakara Way
Enumeration Date
18 April 2007
Last Update Date
16 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3032747332
Graduation Year
2006 (20 years ago)
PAC ID
6406077304
Group Practice PAC ID
8426961087
Professional Enrollment ID
I20240917000207
Address ID
CO801292266HI1265XDRXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for DR. DUREECE LUCILLE LINGWALL (DPT,OCS)

  • 590 S Wakara Way

    Salt Lake City, UT 841081200

    Phone: (801) 587-7005

    Fax: (801) 587-7007

    Type: Location

  • 590 SOUTH WAKARA WAY

    SALT LAKE CITY, UT 84108

    Phone: (801) 587-7005

    Fax: (801) 587-7007

    Type: Mailing

  • 590 S WAKARA WAY

    SALT LAKE CITY, UT 841081200

    Phone: (801) 587-7005

    Fax: (801) 587-7007

    Type: Location

  • 1265 SGT JON STILES DR UNIT D

    HIGHLANDS RANCH, CO 801292266

    Phone: (303) 274-7332

    Fax: (720) 497-6733

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240917000207IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426961087View full group profile

Reviews

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Frequently asked questions

Can I verify DR. DUREECE LUCILLE LINGWALL (DPT,OCS) with an NPI only?
You can start verification with NPI 1063638856 for DR. DUREECE LUCILLE LINGWALL (DPT,OCS), then check state licensing separately.
Is DR. DUREECE LUCILLE LINGWALL (DPT,OCS) still practicing?
DR. DUREECE LUCILLE LINGWALL (DPT,OCS) is currently listed as active in the public NPI registry.
What is DR. DUREECE LUCILLE LINGWALL (DPT,OCS)'s primary classification?
Orthopedic Physical Therapist is the headline specialty for DR. DUREECE LUCILLE LINGWALL (DPT,OCS) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DUREECE LUCILLE LINGWALL (DPT,OCS)?
DR. DUREECE LUCILLE LINGWALL (DPT,OCS)'s geographic hint is Salt Lake City, Utah in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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