Active NPI
Darrein Grimme, PT, DPT
- Physical Therapist
- Mansfield, TX
National Provider Identifier
1649867102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1332534
- Practice address
- 2300 Lone Star Rd
Mansfield, TX 76063-8744 - Phone
- (682) 341-5000
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- 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 | 1332534 | TX | Primary |
Addresses
Primary practice location
2300 Lone Star Rd
Mansfield, TX 76063-8744
Mailing address
2300 Lone Star Rd
Mansfield, TX 76063-8744
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stt@116.direct.myezyaccess.com | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1332534 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1649867102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 LONE STAR RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LONE STAR RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638744",
"telephone_number": "682-341-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMME",
"first_name": "DARREIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1332534",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stt@116.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "Health Information Exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2142 Horizon Road",
"city": "Rockwall",
"state": "TX",
"country_code": "US",
"postal_code": "75032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.