Joseph Aaron Russell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4877 Issued in NC

Practice address

1704 2ND Street PL NE
Hickory, NC 28601-1961

Phone

(828) 228-6237

NPI assigned

Nov 20, 2012

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1174867709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CONOVER BLVD W",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132729",
            "telephone_number": "828-228-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 2ND STREET PL NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011961",
            "telephone_number": "828-228-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOSEPH",
        "middle_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "4877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Luther Rufty Jr., CPO
• Mohammad Fayez Rujubali, MBBS
• Runy Thao Counseling, PLLC
• Katelyn Marie Rusk, MA,LCAS-A
• C Thomas D Russell, CH
• Reid Robert Russell, D.O
• Madison Adair Ruth
• Ryan C Sigmon, DMD, PA
• Kate Erin Ryan, DO
• Rys Rock Your Soul

• Physical Therapy Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.