Faith Russell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14016 Issued in TN

Practice address

1975 W Elk Ave
Elizabethton, TN 37643-3787

Phone

(423) 543-0073

NPI assigned

Feb 23, 2022

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Services PAGroup PAC ID 0840265591, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Physical Therapy Services, P.a.

  • Clinic/Center
  • Elizabethton, TN
  • NPI 1831109867

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1255087714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433787",
            "telephone_number": "423-543-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433787",
            "telephone_number": "423-543-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "FAITH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robertson Dental PLLC
• Mark Alan Robertson, D.D.S.
• Diane Lynn Roche, PA
• Kaylee Rose, M.S., CF-SLP
• Larry James Rose, L.C.S.W.
• Christine Marie Sager, M.D.
• Kimberly Ann Sams, ASSOC
• Robert Lewis Sams, OD
• Wendy Carol Sams, LPN
• David S Saunders, MD

• Physical Therapist in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.