Kelly Kristina Russ, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10160 Issued in MN

Practice address

3915 Golden Valley Rd
Golden Valley, MN 55422-4249

Phone

(612) 868-4885

NPI assigned

Jan 4, 2016

Sex

Female

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: kruss272738@excellian.direct.allina.com

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1174989313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 VAGABOND LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554461309",
            "telephone_number": "763-478-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "612-868-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "KELLY",
        "middle_name": "KRISTINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "10160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea T Rossow, OD
• Amber-Leigh K Rothlisberger
• Fern Rubin, M.D.
• Sharon Jeanine Ruhsam, P.T.
• Michelle M Rundquist, PHARMD
• Elizabeth Ann Russell, OT GRAD.
• Kim Nicole Rutt, PTA
• Aoife Ryan
• S.E.a. Senior Day Care, LLC
• S&B Home Health Care

• Orthopedic Physical Therapist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.