Active NPI
T. Rex Darr, LMT
- Specialist
- Alachua, FL
National Provider Identifier
1598818809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA24667
- Practice address
- 14862 Main St
Alachua, FL 32615-8590 - Phone
- (386) 462-0032
- Fax
- (386) 462-0032
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA24667 | FL | Primary |
Addresses
Primary practice location
14862 Main St
Alachua, FL 32615-8590
Mailing address
14712 NW 145TH Ter
Alachua, FL 32615-8630
Phone (386) 462-0032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA24667 | Other | FL | MASSAGE LICENSE NUMBER |
| C8003 | Other | FL | PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA24667 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598818809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14712 NW 145TH TER",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158630",
"telephone_number": "386-462-0032",
"fax_number": "386-462-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14862 MAIN ST",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158590",
"telephone_number": "386-462-0032",
"fax_number": "386-462-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARR",
"first_name": "T. REX",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA24667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE NUMBER",
"identifier": "MA24667",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "C8003",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alachua, FL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.