Active NPI
Russell Lyle Darrington, MS, PT
- Orthopedic Physical Therapist
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1110690
- Practice address
- 907 N Goliad St Ste 1
Rockwall, TX 75087-2230 - Phone
- (972) 232-2310
- Fax
- (972) 232-2310
- NPI assigned
- Apr 25, 2017
- Last updated
- Nov 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1110690 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1110690 | TX | Primary |
Addresses
Primary practice location
907 N Goliad St Ste 1
Rockwall, TX 75087-2230
Mailing address
1028 Redwood TRL
Rockwall, TX 75087-6102
Phone (972) 532-6552
Other practice location 1
3801 Lakeview Pkwy
Suite 500
Rowlett, TX 75088-4079
Phone (469) 814-8126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110690 | Other | TX | EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
6501 Dalrock Rd
Suite 118a
Rowlett, TX 75089-2046
Phone (972) 232-2310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110690 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quickcare Rehab, Inc. | Current | Accepting new patients | |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
907 N Goliad St
Ste 1
Rockwall, TX 75087
Phone (214) 564-1776
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Organizations & group practices 3
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.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Physical Therapy Clinic/Center
- Rowlett, TX
- NPI 1255809554
-
- Physical Therapy Clinic/Center
- Rockwall, TX
- NPI 1669022539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1558896845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 REDWOOD TRL",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750876102",
"telephone_number": "972-532-6552",
"fax_number": "972-232-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 N GOLIAD ST STE 1",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750872230",
"telephone_number": "972-232-2310",
"fax_number": "972-232-2310"
}
],
"practiceLocations": [
{
"address_1": "3801 Lakeview Pkwy",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Rowlett",
"state": "TX",
"postal_code": "750884079",
"country_code": "US",
"telephone_number": "469-814-8126",
"fax_number": "972-840-3529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARRINGTON",
"first_name": "RUSSELL",
"middle_name": "LYLE",
"name_prefix": "Mr.",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1110690",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1110690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS",
"identifier": "1110690",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.