Russell Redmond

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9998 Issued in MA

Practice address

146 Macarthur Blvd
Buzzards Bay, MA 02532-3902

Phone

(508) 759-8880

NPI assigned

Mar 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1033869219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19575 HIGH BLUFF LN",
            "city": "BARHAMSVILLE",
            "state": "VA",
            "postal_code": "230112357",
            "telephone_number": "804-516-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MACARTHUR BLVD",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323902",
            "telephone_number": "508-759-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604710",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Perrin
• Gary R Peterson, DMD, MPH
• Monique Marie Plaud-Veeder, DPT
• Jennifer A Pratt, OTRL, MSW
• Rebecca a Halloran Counseling LLC
• Rising Up LLC
• Rising Up LLC
• Rising Up LLC
• Jordyn Andrea Robertson, OTD, OTR/L
• Ashley Rooney, LPN

• Physical Therapy Assistant in Buzzards Bay, MA
• Providers in Buzzards Bay, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.