Organization Active NPI

Phoenix Wellness & Rehab LLC

  • Physical Therapy Clinic/Center
  • Rowlett, TX
National Provider Identifier
1255809554
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHOENIX WELLNESS & REHAB LLC
Practice address
6501 Dalrock Rd Ste 118a
Rowlett, TX 75089-2046
Phone
(972) 232-2310
Fax
(972) 232-7925
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Mr. Russell Lyle Darrington, MS, PTNPI 1558896845
Title
Director
Phone
(972) 232-2310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6501 Dalrock Rd Ste 118a
Rowlett, TX 75089-2046

Mailing address

6501 Dalrock Rd Ste 118a
Rowlett, TX 75089-2046
Phone (972) 232-2310

Other identifiers 1

IdentifierTypeStateIssuer
1110690OtherTXEXECUTIVE COUNCIL OF PHYSICAL AND OCCUPATIONAL THERAPY EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Rowlett Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191230000354 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042644056 Receives reassigned benefits from 1 practitioner
Practice locations: Rowlett, TX

National Provider Directory

National Provider Directory

Locations

6501 Dalrock Rd
Ste 118A
Rowlett, TX 75089
Phone (214) 564-1776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1255809554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 DALROCK RD STE 118A",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750892046",
            "telephone_number": "972-232-2310",
            "fax_number": "972-232-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 DALROCK RD STE 118A",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750892046",
            "telephone_number": "972-232-2310",
            "fax_number": "972-232-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WELLNESS & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "DARRINGTON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-232-2310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXECUTIVE COUNCIL OF PHYSICAL AND OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "1110690",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rowlett",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6501 Dalrock Rd Ste 118A",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750892046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.