Individual provider Active NPI

Darin Tollett, PT

  • Physical Therapist
  • Nashville, AR
National Provider Identifier
1336650761
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1936 Issued in AR
Practice address
130 Medical Cir
Nashville, AR 71852-8606
Phone
(870) 845-8161
Fax
(870) 845-8284
NPI assigned
Oct 12, 2017
Last updated
Oct 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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 1936 AR Primary

Addresses

Primary practice location

130 Medical Cir
Nashville, AR 71852-8606

Mailing address

130 Medical Cir
Nashville, AR 71852-8606
Phone (870) 845-8161

Other identifiers 1

IdentifierTypeStateIssuer
139099721MedicaidAR

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1936ARMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1336650761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CIR",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528606",
            "telephone_number": "870-845-8161",
            "fax_number": "870-845-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CIR",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528606",
            "telephone_number": "870-845-8161",
            "fax_number": "870-845-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLETT",
        "first_name": "DARIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139099721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.