Michael D Russell, PT,DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2143 Issued in NV

Practice address

3005 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-5030

Phone

(702) 840-2500

Fax

(725) 234-1515

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevation Physical Therapy, LLCGroup PAC ID 1052787983, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elevation Physical Therapy, LLC

  • Specialist
  • Henderson, NV
  • NPI 1306573498

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Integrated Health Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
  • NPI 1396615514

  Physical Therapy

  Medicare reassignment NPD
• Kevin P. Debiparshad PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Las Vegas, NV
  • NPI 1942718101

  Physical Therapist

  Medicare reassignment NPD
• NR Orthopedic and Rehab, LLC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1477412955
  Medicare reassignment NPD
• Doctor'S Health Network, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
  • NPI 1073931952
  Medicare reassignment
• Clark County Medical Group LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1871094862

  Physical Therapy

  NPD (past)
• Jack D. Close and Associates

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1700992971
  NPD (past)
• Therapy West LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1972168540
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1003012980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 W HORIZON RIDGE PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525030",
            "telephone_number": "702-840-2500",
            "fax_number": "725-234-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W HORIZON RIDGE PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525030",
            "telephone_number": "702-840-2500",
            "fax_number": "725-234-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT,DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Ruley
• Robert Michael Russ, M.D.
• Adam Russell
• Essence Russell
• Madison Russell
• Roger Alan Russell, DC
• Sean Russell, OMD
• Sharon Alene Russell
• Troy D Russell, DC
• Dominique Ashley Russo, RDN, LD

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.