Individual provider Active NPI

Russell Lyle Darrington, MS, PT

  • Orthopedic Physical Therapist
  • Rockwall, TX
National Provider Identifier
1558896845
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1110690 Issued in TX
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1110690OtherTXEXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170510001068 TX Practitioner - Physical Therapist in Private Practice 0446537997 Reassigns benefits to 2 organizations

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
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

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

LicenseStateTypeSpecialty
1110690TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quickcare Rehab, Inc. CurrentSince Sep 15, 2019 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 9, 2026 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.

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.

Verify at the official NPI Registry.