Individual provider Active NPI

Douglas Devenny Yarboro, DPT

  • Physical Therapist
  • Mount Airy, NC
National Provider Identifier
1811186166
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8996 Issued in NC
Practice address
314 S South St
Suite 200
Mount Airy, NC 27030-4491
Phone
(336) 786-2033
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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 8996 NC Primary

Addresses

Primary practice location

314 S South St
Suite 200
Mount Airy, NC 27030-4491

Mailing address

314 S South St
Suite 200
Mount Airy, NC 27030-4491
Phone (336) 786-2033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000394 NC Practitioner - Physical Therapist in Private Practice 2163500885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Wound Care Center PLLCGroup PAC ID 6901326248, 5 clinicians

Practice addresses (Care Compare)

436 Hadley St
Mount Airy, NC 27030-4517
Phone (704) 612-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8996NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care Center PLLC CurrentSince Jan 30, 2026 Accepting new patients
United Rehab Specialist LLC Physical Therapist PastSince Nov 14, 2011 Accepting new patients
Salem Physical Therapy and Sports Rehab Past Accepting new patients
Renew Wound Care Specialists PastSince Sep 7, 2021 Accepting new patients

Locations

18805 W Catawba Ave
Ste 205A
Cornelius, NC 28031
Phone (704) 310-1043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1811186166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S SOUTH ST",
            "address_2": "SUITE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304491",
            "telephone_number": "336-786-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S SOUTH ST",
            "address_2": "SUITE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304491",
            "telephone_number": "336-786-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBORO",
        "first_name": "DOUGLAS",
        "middle_name": "DEVENNY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.