Melinda Labarre Russell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026677 Issued in PA

Practice address

275 Guthrie Dr
Troy, PA 16947-8115

Phone

(570) 297-9234

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Sex

Female

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 PA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pivot Physical Therapy of Pennsylvania, LLC

  • Physical Therapist
  • South Abington Township, PA
  • NPI 1881132488
  Medicare reassignment NPD
• Feel Great Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Warren Center, PA
  • NPI 1063150084
  NPD Authorized official
• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1003380924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 MAPLE PHEASANT LN",
            "city": "ROME",
            "state": "PA",
            "postal_code": "188378359",
            "telephone_number": "570-247-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GUTHRIE DR",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169478115",
            "telephone_number": "570-297-9234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15900 Route 6",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "PA",
            "postal_code": "169479308",
            "country_code": "US",
            "telephone_number": "570-297-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MELINDA",
        "middle_name": "LABARRE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alzea Dorena Rineer, NP
• Diana Robbins-Smith, NP
• Suzanne Kay Roberts, LSW
• Nicholas J Rodio, DPT
• Joyce Lynn Rubeck, PTA
• Victoria Pauline Russell
• Dylan Michael Saxon, PA
• Julie L Sechrist, PT
• Raymond Joseph Seeley, OD
• Roger Floyd Sherman, RPH

• Physical Therapist in Troy, PA
• Providers in Troy, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.