Amie Kathrine Russell, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10705 Issued in CO

Practice address

107 W 29TH St Ste 100
Loveland, CO 80538-2200

Phone

(970) 663-6142

Fax

(970) 635-3087

NPI assigned

May 27, 2010

Last updated

Jan 28, 2022By the provider in NPPES

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodywise Physical Therapy Professional LLCGroup PAC ID 5496808917, 3 clinicians

Practice addresses (Care Compare)

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

• Bodywise Physical Therapy Professional LLC

  • Orthopedic Physical Therapist
  • Boulder, CO
  • NPI 1881836716
  Medicare reassignment Care Compare group NPD
• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351

  Physical Therapist

  Medicare reassignment NPD
• CPTN Prime

  dba Rocky Mountain Rehab Alliance

  • Physical Therapist
  • Lakewood, CO
  • NPI 1477061307
  NPD

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1316266406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 ARAPAHOE AVE",
            "address_2": "STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803039101",
            "telephone_number": "970-214-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 29TH ST STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382200",
            "telephone_number": "970-663-6142",
            "fax_number": "970-635-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4663 W 20th Street Rd",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343246",
            "country_code": "US",
            "telephone_number": "970-352-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "AMIE",
        "middle_name": "KATHRINE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad C Runyan, M.D.
• Tarah Rupert, FNP-C
• Vicki Ruscitti, LPC, LAC
• Andrea Dawn Rush, P.T.
• Audrey Brynn Rush, NP-C
• Andrea Russell, LPC
• Barbara Russell, P.T.
• Taylor Ruter
• Tisza Rutherford, CAC III
• Katie L Rutledge, M.D.

• Physical Therapist in Loveland, CO
• Providers in Loveland, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.