Individual provider Active NPI

Darren G Dilley, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1225173792
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10469 Issued in WI
Practice address
4100 SW 109TH St
Seattle, WA 98146-1654
Phone
(414) 581-2295
NPI assigned
Feb 21, 2007
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 10469 WI Primary

Addresses

Primary practice location

4100 SW 109TH St
Seattle, WA 98146-1654

Mailing address

4100 SW 109TH St
Seattle, WA 98146-1654
Phone (414) 581-2295

Other practice location 1

4100 SW 109th St
Seattle, WA 98146-1654
Phone (414) 581-2295

Other practice location 2

3823 Delridge Way SW
Seattle, WA 98106-1133
Phone (206) 301-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10469WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC Physical Therapist Past Accepting new patients
Sound Physical Therapy Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1225173792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SW 109TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461654",
            "telephone_number": "414-581-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SW 109TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461654",
            "telephone_number": "414-581-2295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 SW 109th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981461654",
            "country_code": "US",
            "telephone_number": "414-581-2295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3823 Delridge Way SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981061133",
            "country_code": "US",
            "telephone_number": "206-301-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLEY",
        "first_name": "DARREN",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.