Darrel a Elwell LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DARREL A ELWELL LLC

Doing business as

Sun Country Physical Therapy

Practice address

800 W 2ND St
Roswell, NM 88201-3004

Phone

(575) 625-9020

Fax

(575) 625-9025

NPI assigned

Oct 25, 2017

Last updated

Oct 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Darrel A Elwell, P.T. M.O.M.T.

Title

Physical Therapy

Phone

(575) 625-9020

Specialties & licenses 1

Addresses

Other names 1

• Sun Country Physical Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Thomas Holland, PT

  • Physical Therapist
  • Roswell, NM
  • NPI 1831226265
  NPD (past)
• Yashdev Rohin Kundomal, PH. D., PT

  • Physical Therapist
  • Roswell, NM
  • NPI 1578618534
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1093227456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 2ND ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013004",
            "telephone_number": "575-625-9020",
            "fax_number": "575-625-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 2ND ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013004",
            "telephone_number": "575-625-9020",
            "fax_number": "575-625-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREL A ELWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "ELWELL",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "575-625-9020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T.  M.O.M.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Country Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Klement Dahlke, PHARMD, PC
• John D Dalton, DC
• Daniel & Max, LLC (Stanton Optical)
• Shannon Kay Daniel, NP
• Andres David Darquea, MD
• Lynn B Daugherty, PH. D.
• Lorena Davidson
• Yosiah Davila, BT
• John Robert Davis, OD
• Patricia L Davis, M.D.

• Physical Therapist in Roswell, NM
• Providers in Roswell, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.