Individual provider Active NPI

Darin Russell Yantis, DPT

  • Physical Therapist
  • Falcon, CO
National Provider Identifier
1326389487
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0012469 Issued in CO
Practice address
7622 McLaughlin Rd
Falcon, CO 80831-4710
Phone
(719) 495-3133
NPI assigned
Mar 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006205 KY
Physical Therapist 225100000X 0012469 CO Primary
Physical Therapist 225100000X 2305207879 VA

Addresses

Primary practice location

7622 McLaughlin Rd
Falcon, CO 80831-4710

Mailing address

2553 E Pikes Peak Ave
K104
Colorado Springs, CO 80909-6000
Phone (661) 809-1794

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140317001129 CO Practitioner - Physical Therapist in Private Practice 1355572322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4110 Briargate Pkwy
Suite 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
70.6
Promoting interoperability
99
Improvement activities
40
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0012469COMDPhysical Therapist
006205KYMDPhysical Therapist
2305207879VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Orthopaedic Group CurrentSince Nov 1, 2022 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Nov 1, 2022 Accepting new patients

Locations

1655 Quail Lake Loop
Colorado Springs, CO 80906
Phone (719) 417-4931

4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329

6140 Tutt Blvd
Ste 110
Colorado Springs, CO 80923
Phone (719) 955-0250

1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1326389487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 E PIKES PEAK AVE",
            "address_2": "K104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096000",
            "telephone_number": "661-809-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314710",
            "telephone_number": "719-495-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANTIS",
        "first_name": "DARIN",
        "middle_name": "RUSSELL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006205",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012469",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.