Active NPI
Darrel Elwell
- Physical Therapist
- Roswell, NM
National Provider Identifier
1508942772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1050
- Practice address
- 800 West Second Street
Roswell, NM 88201 - Phone
- (505) 625-9020
- Fax
- (505) 625-9025
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1050 | NM | Primary |
Addresses
Primary practice location
800 West Second Street
Roswell, NM 88201
Mailing address
800 West Second Street
Roswell, NM 88201
Phone (505) 625-9020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000123 | NM | Practitioner - Physical Therapist in Private Practice | 9537329883 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 W 2ND St
Roswell, NM 88201-3004
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.36 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508942772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WEST SECOND STREET",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"telephone_number": "505-625-9020",
"fax_number": "505-625-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST SECOND STREET",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"telephone_number": "505-625-9020",
"fax_number": "505-625-9025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWELL",
"first_name": "DARREL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.