Individual provider Active NPI

Dorothy Russell, DPT

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1346652963
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
333 S Pine St
Spartanburg, SC 29302-2622
Phone
(864) 515-7580
Fax
(864) 515-7581
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

333 S Pine St
Spartanburg, SC 29302-2622

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140806001001 SC Practitioner - Physical Therapist in Private Practice 9830316405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

333 S Pine St
Spartanburg, SC 29302-2622
Phone (864) 515-7580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7351SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Feb 20, 2017 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Feb 20, 2017 Accepting new patients
Physical Rehabilitation Group Physical Therapist Past Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2646 Boiling Springs Rd
Boiling Springs, SC 29316
Phone (864) 345-6714

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

103 N Main St
Greenville, SC 29601
Phone (864) 936-0502

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

905 Verdae Blvd
Ste 104
Greenville, SC 29607
Phone (864) 522-6100

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

1400 W Georgia Rd
Ste 400
Simpsonville, SC 29680
Phone (864) 757-3053

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

2660 Reidville Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 576-3738

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

2125 E Main St
Ste 400
Spartanburg, SC 29307
Phone (864) 285-3615

36 S Main St
Ste B
Travelers Rest, SC 29690
Phone (864) 660-8200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1346652963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022622",
            "telephone_number": "864-515-7580",
            "fax_number": "864-515-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DOROTHY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.