James Robert Russell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2253 Issued in NC

Practice address

1915 W Park Dr
Ste 102 Physical Therapy Associates of Wilkes LLC
North Wilkesboro, NC 28659

Phone

(336) 903-9293

Fax

(336) 903-9295

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Associates of Wilkes LLCGroup PAC ID 7214841899, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy Associates of Wilkes LLC

  • Physical Therapist
  • North Wilkesboro, NC
  • NPI 1922183920
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326054339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR",
            "address_2": "STE 102 PHYSICAL THERAPY ASSOCIATES OF WILKES LLC",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-903-9293",
            "fax_number": "336-903-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR",
            "address_2": "STE 102 PHYSICAL THERAPY ASSOCIATES OF WILKES LLC",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-903-9293",
            "fax_number": "336-903-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210769",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Rowe, RN
• William Nathaniel Rowe
• Lillian Royal, DVM
• Billie Bullard Royall
• Michael R Royall Jr., NP
• James Wallace Rutledge, LPC
• Diane T. Ryder, LPA
• William Kenneth Sanders
• William J Scarpa Jr., MD
• Shirley Jane Scharett, CADC

• Physical Therapist in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.