Individual provider Active NPI

Robert Daniiel Muldrow, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1558911537
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Phone
(803) 509-6880
Fax
(803) 509-6881
NPI assigned
Sep 12, 2019
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 NU Primary

Addresses

Primary practice location

130 Forum Dr Ste 13
Columbia, SC 29229-7943

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 541-5491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414001550 SC Practitioner - Physical Therapist in Private Practice 2668802729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Forum Dr
Suite 13
Columbia, SC 29229-7943
Phone (803) 509-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Feb 10, 2020 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist Current Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

130 Forum Dr
Ste 13
Columbia, SC 29229
Phone (803) 509-6880

961 Roberts Branch Pkwy
Ste 113
Columbia, SC 29203
Phone (803) 675-5111

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1558911537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORUM DR STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297943",
            "telephone_number": "803-509-6880",
            "fax_number": "803-509-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDROW",
        "first_name": "ROBERT",
        "middle_name": "DANIIEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.