Jordan Carver Russell

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1362087 Issued in TX

Practice address

17323 Interstate 35 N Ste 107
Schertz, TX 78154-1278

Phone

(210) 659-4333

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Feel Fit Physical Therapy

  • Physical Therapy Clinic/Center
  • Selma, TX
  • NPI 1528769379
  NPD Authorized official
• All Schertz-Cibolo Physical Therapy

  dba Biomotion Physical Therapy

  • Physical Therapy Clinic/Center
  • Schertz, TX
  • NPI 1174801971

  Orthopedic

  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1063137313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 QUAKER RDG",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 INTERSTATE 35 N STE 107",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541278",
            "telephone_number": "210-659-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JORDAN",
        "middle_name": "CARVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1362087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY",
            "identifier": "1362087",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imani Rose
• Ross Family Clinics, PLLC
• Jessica Gail Rourke, OTR
• Kaylee Renee Ruelas, DPT
• Stephanie Jean Ruiz
• Emily Katherine Ryherd
• Gabrielle Allene Saddler
• Randall Kent Sadler, M.D.
• Coralie Marie Saenz
• Jason Saenz, M.A., CCC-SLP

• Orthopedic Physical Therapist in Schertz, TX
• Providers in Schertz, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.