Active NPI
Johanna Russell, PT, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1346675998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20730
- Practice address
- 45 School Street
Ground Floor
Boston, MA 02108 - Phone
- (857) 285-2955
- Fax
- (857) 305-3393
- NPI assigned
- Sep 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20730 | MA | Primary |
Addresses
Primary practice location
45 School Street
Ground Floor
Boston, MA 02108
Mailing address
45 School Street
Ground Floor
Boston, MA 02108
Phone (857) 285-2955
Other practice location 1
209 Columbus Ave
Lower Level
Boston, MA 02116-5109
Phone (617) 247-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness in Motion Boston | Physical Therapist | Current | Accepting new patients |
| Refresh Physical Therapy LLC | Current | Accepting new patients | |
| Spine & Sports Injury Center, P.C. | Past | Accepting new patients | |
| Fusion - Osmed Mso, LLC | Past | Accepting new patients |
Locations
27 School St
Ste 300
Boston, MA 02108
Phone (339) 285-7305
45 School St
Boston, MA 02108
Phone (857) 285-2955
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.
-
- Physical Therapy Clinic/Center
- Boston, MA
- NPI 1053823948
-
- Physical Therapy Clinic/Center
- Needham, MA
- NPI 1285451765
-
- Chiropractor
- Boston, MA
- NPI 1891840922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1346675998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SCHOOL STREET",
"address_2": "GROUND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02108",
"telephone_number": "857-285-2955",
"fax_number": "857-305-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SCHOOL STREET",
"address_2": "GROUND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02108",
"telephone_number": "857-285-2955",
"fax_number": "857-305-3393"
}
],
"practiceLocations": [
{
"address_1": "209 Columbus Ave",
"address_2": "Lower Level",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021165109",
"country_code": "US",
"telephone_number": "617-247-2300",
"fax_number": "617-375-8581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "JOHANNA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2022-04-12",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.