Stacy Russell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4020 Issued in SC

Practice address

1941 Savage Rd
Suite 400C
Charleston, SC 29407-4704

Phone

(843) 571-2700

NPI assigned

Sep 22, 2007

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)

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 and National Provider Directory roles.

• Lowcountry Rehabilitation LP

  • Physical Therapy Clinic/Center
  • Walterboro, SC
  • NPI 1972758662

  Physical Therapist

  NPD
• Ridgeland Physical Therapy, Inc.

  • Physical Therapist
  • Ridgeland, SC
  • NPI 1184733776
  NPD
• The Weston Group of South Carolina Inc

  • Physical Therapist
  • Bluffton, SC
  • NPI 1073957064
  NPD

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1295921336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD",
            "address_2": "SUITE 400C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074704",
            "telephone_number": "843-571-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD",
            "address_2": "SUITE 400C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074704",
            "telephone_number": "843-571-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "STACY",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-22",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Russell, MD
• Kimberly Lynn Russell, PA-C
• Michelle Helen Russell
• Samantha Paige Russell, DO
• Sarah Hope Russell, M. S. OTR/L
• Steven L Russell, PA
• Tina Russell
• William S Russell, MD
• Andrew Peter Russo, ATC, SCAT
• Anthony J Russo, M.D.

• Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.