Active NPI
Darryl Arevalo, PT
- Physical Therapist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11363
- 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
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 | 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, CA
Enrollment records 4
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Orthopaedic Surgery Physician
- Oakland, CA
- NPI 1710761960
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.