DR. ARLIE ALEXANDER ETHERTON DPT, SCS
NPI 1649962754
Physical Therapist - Sports in Simpsonville, SC

Q: What is Arlie Etherton's NPI number?

The NPI number for Arlie Etherton is 1649962754. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Q: What is Arlie Etherton's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Arlie Etherton was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2023

404 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680(864) 214-0430 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Arlie Alexander Etherton Dpt, Scs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ARLIE ALEXANDER ETHERTON DPT, SCS (NPI 1649962754) is an individual sports provider in Simpsonville, South Carolina, licensed in South Carolina (12767) and active in the NPI registry since May 2023. He maintains a secondary practice location in Gardendale.

NPPES Registry Identity

NPI1649962754

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameDR. ARLIE ALEXANDER ETHERTONCredential: DPT, SCS

Location Address404 HARRISON BRIDGE RDSimpsonville, SC 29680-7606

Mailing Address404 Harrison Bridge RdSimpsonville, SC 29680-7606 · (864) 214-0430

Phone(864) 214-0430

Sole ProprietorNo

Enumeration DateMay 25, 2023

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1649962754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in SC · 12767

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

404 HARRISON BRIDGE RD, Simpsonville, SC 29680

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Secondary Practice Location 1

Location 12244 North Rd Ste 104Gardendale, AL 35071-2235 · Phone (205) 418-1080

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Arlie Alexander Etherton Dpt, Scs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Arlie Etherton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

P4 Physical Therapy Limited Partnership

323 mi

Physical Therapist

1860 US HIGHWAY 43
Winfield, AL 35594

Reassigned Medicare billing, Alabama enrollment
48 clinicians in this Medicare group

NPI 1568195386 (205) 651-7171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

72 services14 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

64 services12 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

60 services14 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

49 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arlie Etherton's NPI number?

The NPI number for Arlie Etherton is 1649962754. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Arlie Etherton located?

Arlie Etherton practices at 404 Harrison Bridge Rd, Simpsonville, SC 29680. The listed phone number is (864) 214-0430.

What is Arlie Etherton's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Arlie Etherton enrolled in Medicare?

Yes. Arlie Etherton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Arlie Etherton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arlie Etherton reassigns Medicare benefits to P4 Physical Therapy Limited Partnership (Winfield, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arlie Etherton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arlie Etherton accept?

Health plans from Molina Healthcare list Arlie Etherton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arlie Etherton was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.