Heather Carroll Russell, PT
Individual provider Active NPI Physical Therapist · Ruckersville, VA
NPI 1093022014 · NPPES record last updated Sep 13, 2010
Key facts
- NPI
- 1093022014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305006648 (VA)
- Practice address
- 1029 W Daffodil Rd
Ruckersville, VA 22968-2403 - Phone
- (434) 985-1081
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305006648 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305006648 | VA | Yes |
Addresses
Primary practice location
1029 W Daffodil Rd
Ruckersville, VA 22968-2403
Mailing address
1029 W Daffodil Rd
Ruckersville, VA 22968-2403
Phone (434) 985-1081
Other providers in Ruckersville, VA
- Cynthia G Richards
- Ritechoice Hospice of Central Virginia LLC
- Samantha Roberts
- Emily Harris Rooney
- Brandi Ruhlman-Bidwell
- James Curtis Ryan
- Charles Benford Sauls
- Saysational Therapy LLC
- Katherine Elizabeth Scales
- Kevin Christopher Schiedel
All providers in Ruckersville, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.