Active NPI
Arvrin Peralta, DPT
- Orthopedic Physical Therapist
- Mukilteo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 61416296
- Practice address
- 11700 Mukilteo Speedway Suite 503
Mukilteo, WA 98275 - Phone
- (425) 349-9692
- NPI assigned
- Mar 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 61416296 | WA | Primary |
Addresses
Primary practice location
11700 Mukilteo Speedway Suite 503
Mukilteo, WA 98275
Mailing address
2230 Molokai Way
San Diego, CA 92154
Phone (619) 206-2366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61416296 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Orthopedic | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Orthopedic | Current | Accepting new patients |
Locations
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
11700 Mukilteo Speedway
Ste 503
Mukilteo, WA 98275
Phone (425) 349-9692
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Orthopedic
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1508625492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 MOLOKAI WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92154",
"telephone_number": "619-206-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 MUKILTEO SPEEDWAY SUITE 503",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "98275",
"telephone_number": "425-349-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "ARVRIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "61416296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.