Charlynn Darrah, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5487 Issued in AZ

Practice address

3654 W Anthem Way
Suite B102
Anthem, AZ 85086-0455

Phone

(623) 551-9706

Fax

(623) 551-9708

NPI assigned

Jan 17, 2011

Last updated

Jan 17, 2011By the provider in NPPES

Sex

Female

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)

Enrolled

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.

• Orthopedic & Sport Rehab Specialists at Anthem, LLC

  • Physical Therapist
  • Anthem, AZ
  • NPI 1821109356
  NPD (past)

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1275838658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 W ANTHEM WAY",
            "address_2": "SUITE B102",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860455",
            "telephone_number": "623-551-9706",
            "fax_number": "623-551-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 W ANTHEM WAY",
            "address_2": "SUITE B102",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860455",
            "telephone_number": "623-551-9706",
            "fax_number": "623-551-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRAH",
        "first_name": "CHARLYNN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Czyz, O.D.
• Ann Marie D'Onofrio, N.P.
• Daisy Mountain Fire District
• Daisy Mountain Surgical Associates PLLC
• Daisy Mountain Treatment Center LLC
• Darren L Flowers DMD PLLC
• Cara Davelaar, RN, BSN
• Tracy Davis, HEALTH EDUCATOR
• Kayla De Szendeffy, OTR/L
• Deer Valley U.S.D.

• Physical Therapist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.