Active NPI
Daraven Michael Perez, PT, DPT, CSCS
- Physical Therapist
- Frederick, MD
National Provider Identifier
1669398871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13428
- Practice address
- 1341 Hughes Ford Rd Ste 104
Frederick, MD 21701-3134 - Phone
- (301) 798-4838
- NPI assigned
- Jun 24, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13428 | SC | Primary |
Addresses
Primary practice location
1341 Hughes Ford Rd Ste 104
Frederick, MD 21701-3134
Mailing address
17 Rolling River Way
Taylors, SC 29687-5478
Phone (864) 908-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20501 Seneca Meadows Pkwy
Germantown, MD 20876-7017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1669398871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ROLLING RIVER WAY",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296875478",
"telephone_number": "864-908-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 HUGHES FORD RD STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013134",
"telephone_number": "301-798-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DARAVEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "13428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.