Russell Porras, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008378A Issued in IN

Practice address

7102 Novas LNDG
Sellersburg, IN 47172-1899

Phone

(812) 590-9181

Fax

(502) 498-5388

NPI assigned

Jul 15, 2008

Last updated

Mar 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carefirst Therapies, LLCGroup PAC ID 8527326073, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Carefirst Hospice LLC

  • Community Based Hospice Care Agency
  • Sellersburg, IN
  • NPI 1770131906

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Carefirst Rehab LLC

  • Home Health Agency
  • Sellersburg, IN
  • NPI 1194011056

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Carefirst Therapies, LLC

  • Physical Therapist
  • Sellersburg, IN
  • NPI 1285146829
  Medicare reassignment Care Compare group Authorized official
• Carefirst Hospice LLC

  • Community Based Hospice Care Agency
  • Sellersburg, IN
  • NPI 1770131906
  NPD Authorized official
• Carefirst Rehab LLC

  • Home Health Agency
  • Sellersburg, IN
  • NPI 1194011056
  NPD Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1326202730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 NOVAS LNDG",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721899",
            "telephone_number": "812-590-9181",
            "fax_number": "502-498-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 NOVAS LNDG",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721899",
            "telephone_number": "812-590-9181",
            "fax_number": "502-498-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAS",
        "first_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008378A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200952750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Sellersburg, IN
• Providers in Sellersburg, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.