Russell Bunting, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53045 Issued in CA

Practice address

1101 E Tuolumne Rd
Turlock, CA 95382-1541

Phone

(209) 667-8409

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covenant Care California, LLC

  dba Turlock Residential

  • Assisted Living Facility
  • Turlock, CA
  • NPI 1144978214
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1275360232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936310342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E TUOLUMNE RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821541",
            "telephone_number": "209-667-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTING",
        "first_name": "RUSSELL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2181592",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan L Green (Posey's Hearing Aid Center)
• Buen Vita IV Med Spa Professional Corporation (Buen Vita IV Med Spa)
• Karla Sofia Buenrostro, FNP
• Shantelle Noel Buethe, M.A.
• Hiep P Bui, NP-C
• Arik Burgin, M.D.
• Sheree Burleson
• Kaila Meridian Burnett
• Ian McVay Burroughs
• Belen Carolina Bustos Munoz

• Physical Therapy Assistant in Turlock, CA
• Providers in Turlock, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.