Sky D Darrah, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2022004145 Issued in MO

Practice address

2 Harbor Bend CT Ste 102
Lake Saint Louis, MO 63367-1480

Phone

(636) 695-2075

Fax

(636) 696-2080

NPI assigned

Feb 22, 2023

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SSM Select Rehab St. Louis, LLC

  dba SSM Physical Therapy

  • Rehabilitation Practitioner
  • Breese, IL
  • NPI 1740166347
  NPD (past)

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1205534757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 FIRE CREST CT",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906747",
            "telephone_number": "573-259-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HARBOR BEND CT STE 102",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671480",
            "telephone_number": "636-695-2075",
            "fax_number": "636-696-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Business Loop 70",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652033248",
            "country_code": "US",
            "telephone_number": "573-817-2703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARRAH",
        "first_name": "SKY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022004145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Comrie, ATC
• Joshua Justin Cook, PH.D., LPC
• Christopher David Coriasso, DO
• Cornerstone Caregiving East LLC
• Karissa Curtis, MA, LPC
• Sreekala Radhamaniamma David, DNP
• Kaitlyn Davis, MSW, LMSW
• Andrew Dawson, D.O.
• Michelle R Difranco, MS CCC-SLP
• Mary Catherine Downen, LPC

• Physical Therapist in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.