Active NPI
Darrell Edwin Krall, PT
- Physical Therapist
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-468
- Practice address
- 2180 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639 - Phone
- (208) 625-3680
- Fax
- (208) 625-3681
- NPI assigned
- Oct 23, 2006
- Last updated
- Jan 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005703 | WA | |
| Physical Therapist | 225100000X | PT-468 | ID | Primary |
| Hand Physical Therapist | 2251H1200X | PT-468 | ID |
Addresses
Primary practice location
2180 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Mailing address
2180 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-3680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972686087 | Medicaid | ID |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Snohomish Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Snohomish Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Centers of Idaho P a | Past | Accepting new patients |
Locations
1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034
1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
dba IRG Physical Therapy of Canyon Park
- Occupational Therapist
- Bothell, WA
- NPI 1245696814
Physical Therapist
-
- Physical Therapy Clinic/Center
- Snohomish, WA
- NPI 1487692398
Physical Therapist
-
dba Boise Orthopedic Clinic
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1487746541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706313600000",
"number": "1972686087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 W IRONWOOD CENTER DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142639",
"telephone_number": "208-625-3680",
"fax_number": "208-625-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 W IRONWOOD CENTER DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142639",
"telephone_number": "208-625-3680",
"fax_number": "208-625-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRALL",
"first_name": "DARRELL",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2024-01-27",
"certification_date": "2024-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005703",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-468",
"primary": true
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "ID",
"license": "PT-468",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972686087",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.