Individual provider Active NPI

Roger Stephen Darrow, DPT, ATC

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1750755716
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31649 Issued in AZ
Practice address
24737 N Lake Pleasant Pkwy
Peoria, AZ 85383-1569
Phone
(623) 289-3200
NPI assigned
Nov 13, 2015
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 LPT-31649 AZ Primary
Athletic Trainer 2255A2300X 1045 AZ

Addresses

Primary practice location

24737 N Lake Pleasant Pkwy
Peoria, AZ 85383-1569

Mailing address

24737 N Lake Pleasant Pkwy
Peoria, AZ 85383-1569
Phone (623) 289-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427001346 AZ Practitioner - Physical Therapist in Private Practice 5890103196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

24737 N Lake Pleasant Pkwy
Suite 106
Peoria, AZ 85383-1569
Phone (623) 289-3200

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1045AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

24737 N Lake Pleasant Pkwy
Ste 106
Peoria, AZ 85383
Phone (623) 289-3200

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

2005 W Happy Valley Rd
Ste 170
Phoenix, AZ 85085
Phone (623) 322-0654

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

790 Remington Blvd
Bolingbrook, IL 60440

Interoperability endpoints

  • Direct secure messaging: roger.darrow.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1750755716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24737 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831569",
            "telephone_number": "623-289-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24737 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831569",
            "telephone_number": "623-289-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARROW",
        "first_name": "ROGER",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-13",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31649",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.