Healthcare Provider Details

I. General information

NPI: 1740229376
Provider Name (Legal Business Name): DARRELL JAMES ALLEN P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12162 N RANCHO VISTOSO BLVD
ORO VALLEY AZ
85755-1897
US

IV. Provider business mailing address

1027 S SPECKLED STONE WAY
TUCSON AZ
85710-8111
US

V. Phone/Fax

Practice location:
  • Phone: 520-229-0009
  • Fax:
Mailing address:
  • Phone: 520-777-3775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number7188
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number7188
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: