Elizabeth Marie Russell, PT,CLT-LANA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

143 Bernice Dr
143 Bernice Drive
Bensenville, IL 60106-3366

Phone

(630) 350-2736

Fax

(630) 350-2842

NPI assigned

Mar 27, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elmhurst Rehabilitation,S.C.

  • Hand Occupational Therapist
  • Bensenville, IL
  • NPI 1801935705

  Physical Therapist

  NPD (past)
• Flexeon Rehabilitation of Bensenville LLC

  • Physical Therapist
  • Bensenville, IL
  • NPI 1063749794
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023136207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CIRCLE AVE",
            "address_2": "1101 CIRCLE AVENUE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302326",
            "telephone_number": "708-488-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 BERNICE DR",
            "address_2": "143 BERNICE DRIVE",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063366",
            "telephone_number": "630-350-2736",
            "fax_number": "630-350-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "PT,CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.