MR. DARYL L. IVINS (PT) – Physical Therapist, NPI 1316007636

MR. DARYL L. IVINS (PT) is a healthcare provider. based in Salem, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 3584 (OR). The NPI Number for MR. DARYL L. IVINS (PT) is 1316007636

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. DARYL L. IVINS (PT)
NPI
1316007636
Phone
(503) 371-4800
Address
4132 DEVONSHIRE CT NE
Enumeration Date
8 December 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037693123
Graduation Year
1998 (28 years ago)
PAC ID
6305811027
Group Practice PAC ID
1759391394
Professional Enrollment ID
I20040827000265
Address ID
OR973831704ST601XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for MR. DARYL L. IVINS (PT)

  • 4132, Devonshire Court Northeast, Oak Park, Salem, Marion County, Oregon, 97305, United States

    SALEM, OR 973051982

    Phone: (503) 371-4800

    Fax: (503) 371-4801

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040827000265IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities86740$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12713$0
97161Evaluation for physical therapy, typically 20 minutes2724$0
View full utilization report →

Insurance plans in this area (ZIP 97305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759391394View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-CO
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What is the standard ID for MR. DARYL L. IVINS (PT) in the U.S.?
In the U.S., MR. DARYL L. IVINS (PT) is identified by NPI 1316007636.
Is MR. DARYL L. IVINS (PT) currently accepting referrals based on NPI status?
Registry metadata lists MR. DARYL L. IVINS (PT) as active.
What does the directory say MR. DARYL L. IVINS (PT) does?
Insurance directories may phrase it differently, but here MR. DARYL L. IVINS (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. DARYL L. IVINS (PT)?
MR. DARYL L. IVINS (PT) is associated with Salem, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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