Darryl Blake Withrow, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1287741 Issued in TX

Practice address

931 York Dr
Suite a
Desoto, TX 75115-2043

Phone

(972) 296-6645

Fax

(972) 296-4526

NPI assigned

Feb 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Blake Withrow Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

89.48

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crossroads Physical Therapy Limited Partnership

  • Physical Therapist
  • Burleson, TX
  • NPI 1083923916
  NPD
• Crossroads Physical Therapy Limited Partnership

  • Physical Therapist
  • Dallas, TX
  • NPI 1558306399
  NPD
• Ideal Physical Therapy of Texas LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1992244388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 YORK DR",
            "address_2": "SUITE A",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-296-6645",
            "fax_number": "972-296-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "DARRYL",
        "middle_name": "BLAKE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1287741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "WITHROW",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasmine Evette Wilson, PMHNP-BC
• John D Wilson, MD
• Nancy Wilson, OTR
• Wisdom Healthservices
• Jalen Wise
• WM. L. O'Neill, DDS, PA
• Women of Prayer Ministry
• Catherine E. Wood, PHD
• Kevin Anton Woods Sr.
• Joshua Tyson Worley, DPM

• Physical Therapist in Desoto, TX
• Providers in Desoto, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.