Individual provider Active NPI

Russell Jones, DPT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1174172811
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013662 Issued in GA
Practice address
2836 Lavista Rd Ste 1B
Decatur, GA 30033-1300
Phone
(678) 894-4410
Fax
(678) 894-4409
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013662 GA Primary

Addresses

Primary practice location

2836 Lavista Rd Ste 1B
Decatur, GA 30033-1300

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (248) 350-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124000015 GA Practitioner - Physical Therapist in Private Practice 9335470806 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

21 Ortho LN
Atlanta, GA 30329-2315
Phone (404) 778-3350

2836 Lavista Rd
Suite 1B
Decatur, GA 30033-1300
Phone (678) 894-4410

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jan 26, 2023 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jan 24, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jan 24, 2022 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Atlanta Knee and Shoulder Clinic PC CurrentSince Sep 13, 2021 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients

Locations

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

3200 Downwood Cir NW
Ste 410
Atlanta, GA 30327
Phone (404) 352-4779

21 Ortho Ln
Fl 1
Atlanta, GA 30329

2836 Lavista Rd
Ste 1B
Decatur, GA 30033
Phone (678) 894-4410

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

1035 Southcrest Dr
Ste 100
Stockbridge, GA 30281
Phone (770) 389-9000

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1174172811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "248-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 LAVISTA RD STE 1B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331300",
            "telephone_number": "678-894-4410",
            "fax_number": "678-894-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RUSSELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.