Daren Flolo, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007141 Issued in WA

Practice address

725 6TH St
Suite 101
Clarkston, WA 99403-2006

Phone

(509) 758-8510

Fax

(509) 751-9149

NPI assigned

Dec 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Twin Rivers Physical Therapy, LLC

  • Physical Therapist
  • Clarkston, WA
  • NPI 1003982745
  NPD (past)

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1609106483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 6TH ST",
            "address_2": "SUITE 101",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032006",
            "telephone_number": "509-758-8510",
            "fax_number": "509-751-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH ST",
            "address_2": "SUITE 101",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032006",
            "telephone_number": "509-758-8510",
            "fax_number": "509-751-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOLO",
        "first_name": "DAREN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Fairbrother, MS
• Abbie E Farrell, DENTAL HYGIENE
• Fitzgerald Psychological Services, P.S.
• Keri Dee Fleming, MA
• Merrie Louise Fleming, MA CCC-SLP
• Reid Alan Folsom, D.D.S.
• Caressa Foor
• Dannette Frasier
• Samantha Frederick
• Christie Fredericksen

• Physical Therapist in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.