Anderson Russell, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36374 Issued in FL

Practice address

404 Washington Ave Ste 120
Miami Beach, FL 33139-6651

Phone

(305) 479-2973

Fax

(305) 735-7662

NPI assigned

Sep 24, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• The Pilates Doc, LLC

  • Physical Therapist
  • Aventura, FL
  • NPI 1992127443
  NPD (past)
• USA Sports Therapy Florida Inc

  • Physical Therapist
  • Venice, FL
  • NPI 1366916975

  Multi-Specialty

  NPD (past)
• USA Sports Therapy South Miami Inc

  • Physical Therapist
  • Coral Gables, FL
  • NPI 1154815926

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1144837170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WASHINGTON AVE STE 120",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396651",
            "telephone_number": "305-479-2973",
            "fax_number": "305-735-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WASHINGTON AVE STE 120",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396651",
            "telephone_number": "305-479-2973",
            "fax_number": "305-735-7662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331373806",
            "country_code": "US",
            "telephone_number": "305-479-2973",
            "fax_number": "305-735-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ANDERSON",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Ruiz Perez
• Marnie Ruiz
• Nicole Christine Ruiz, MD
• Paola Andrea Ruiz, APRN
• Matthew Ivan Rusilko, D.O.
• Melanie Ryan
• Nicholas J Sabo, D.D.S.
• Victor Sabo, DDS
• Edna Sacdalan, ARNP
• Joanna Sachi, D.O.M., A.P.

• Physical Therapist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.