Provider Demographics
NPI:1033190327
Name:DARBY, JOSHUA (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:DARBY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 E 21ST ST N
Mailing Address - Street 2:STE. D
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1078
Mailing Address - Country:US
Mailing Address - Phone:316-219-8484
Mailing Address - Fax:316-858-2810
Practice Address - Street 1:7111 E 21ST ST N
Practice Address - Street 2:STE. D
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1078
Practice Address - Country:US
Practice Address - Phone:316-219-8484
Practice Address - Fax:316-858-2810
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS140759Medicare ID - Type Unspecified