Individual provider Active NPI

Anastasia Alyse Darragh

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1003589292
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0017806 Issued in CO
Practice address
2801 Youngfield St Ste 170
Golden, CO 80401-0210
Phone
(720) 845-1976
Fax
(720) 845-1958
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 0017806 CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 170
Golden, CO 80401-0210

Mailing address

1900 Little Raven St Apt 318
Denver, CO 80202-7169
Phone (248) 982-2212

Other practice location 1

7878 Wadsworth Blvd Ste 210
Arvada, CO 80003-2121
Phone (303) 456-8967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130002478 CO Practitioner - Physical Therapist in Private Practice 3173991841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy, LLC 17 clinicians

Practice addresses (Care Compare)

5008 W 92ND Ave
Suite a 3
Westminster, CO 80031-6302
Phone (303) 412-7035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0017806COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Premier Physical Therapy, LLC Physical Therapist CurrentSince Apr 26, 2024 Accepting new patients
Fit Physical Therapy Prof LLC CurrentSince Dec 1, 2022 Accepting new patients
Premier Physical Therapy Physical Therapist PastSince Apr 26, 2024 Accepting new patients

Locations

6350 Eldridge St
Arvada, CO 80004
Phone (303) 409-2133

2801 Youngfield St
Ste 170
Golden, CO 80401
Phone (303) 409-2133

6612 S Ward St
Littleton, CO 80127
Phone (303) 409-2133

5008 W 92nd Ave
Ste A3
Westminster, CO 80031
Phone (303) 412-7035

3501 Highland Pl
Westminster, CO 80031
Phone (303) 412-7035

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1003589292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LITTLE RAVEN ST APT 318",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802027169",
            "telephone_number": "248-982-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 170",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010210",
            "telephone_number": "720-845-1976",
            "fax_number": "720-845-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7878 Wadsworth Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800032121",
            "country_code": "US",
            "telephone_number": "303-456-8967",
            "fax_number": "303-456-8972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARRAGH",
        "first_name": "ANASTASIA",
        "middle_name": "ALYSE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0017806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.