Individual provider Active NPI

Darryl Arevalo, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1992438428
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11363 Issued in SC
Practice address
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Phone
(035) 096-8808
NPI assigned
Jul 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 11363 SC Primary

Addresses

Primary practice location

130 Forum Dr Ste 13
Columbia, SC 29229-7943

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Other practice location 1

711 W 40th St Ste 170
Baltimore, MD 21211-2147
Phone (667) 600-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WA, SC, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220718000586 MD Practitioner - Physical Therapist in Private Practice 6103207527 Reassigns benefits to 2 organizations
I20230616002667 WA Practitioner - Physical Therapist in Private Practice 6103207527 Reassigns benefits to 1 organization
I20240828001751 SC Practitioner - Physical Therapist in Private Practice 6103207527 Reassigns benefits to 3 organizations
I20250311002901 CA Practitioner - Physical Therapist in Private Practice 6103207527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians

Practice addresses (Care Compare)

10004 204TH Ave E
Suite 3100
Bonney Lake, WA 98391-6540
Phone (253) 987-7509

221 E Hacienda Ave
Suite a
Campbell, CA 95008-6625
Phone (408) 412-8130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Multicare Health System CurrentSince May 19, 2023 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 2, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Multicare Health System CurrentSince May 19, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 2, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

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

221 E Hacienda Ave
Ste A
Campbell, CA 95008
Phone (408) 356-0444

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

711 W 40th St
Ste 170
Baltimore, MD 21211
Phone (667) 600-4560

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061

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

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

10004 204th Ave E
Ste 3100
Bonney Lake, WA 98391
Phone (253) 863-7510

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: darryl.arevalo.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1992438428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "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": "035-096-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W 40th St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112147",
            "country_code": "US",
            "telephone_number": "667-600-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "DARRYL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11363",
            "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 Dec 2, 2024; 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.