Active NPI
Wayne R Darner, PT
- Physical Therapist
- Benbrook, TX
National Provider Identifier
1982890257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1176703
- Practice address
- 6080 Southwest Blvd
Benbrook, TX 76109-3912 - Phone
- (817) 731-9331
- Fax
- (817) 731-9882
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1176703 | TX | Primary |
Addresses
Primary practice location
6080 Southwest Blvd
Benbrook, TX 76109-3912
Mailing address
6080 Southwest Blvd
Benbrook, TX 76109-3912
Phone (817) 731-9331
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00434E | Other | TX | MEDICARE GROUP |
| 1176703 | Other | TX | PT LICENSE |
| P00689444 | Other | MEDICARE RAILROAD CARRIER | |
| 8T7546 | Other | TX | BCBS |
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 |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Past | Accepting new patients | |
| Cooper & Bush Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Benbrook, TX
- NPI 1841220068
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1982890257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6080 SOUTHWEST BLVD",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761093912",
"telephone_number": "817-731-9331",
"fax_number": "817-731-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 SOUTHWEST BLVD",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761093912",
"telephone_number": "817-731-9331",
"fax_number": "817-731-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARNER",
"first_name": "WAYNE",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1176703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00434E",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1176703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD CARRIER",
"identifier": "P00689444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8T7546",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.