Erin Marie Russell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203980 Issued in VA

Practice address

360 Massanutten Drive
Edinburg, VA 22824-3026

Phone

(540) 984-3593

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Erin Marie Claycomb Other name

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1285886309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MASSANUTTEN DRIVE",
            "city": "EDINBURG",
            "state": "VA",
            "postal_code": "228243026",
            "telephone_number": "540-984-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MASSANUTTEN DRIVE",
            "city": "EDINBURG",
            "state": "VA",
            "postal_code": "228243026",
            "telephone_number": "540-984-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CLAYCOMB",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Edinburg, VA
• Providers in Edinburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.