Russell H Pangborn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1084135 Issued in TX

Practice address

2312 N Hwy 281
Marble Falls, TX 78654-4360

Phone

(830) 693-9393

Fax

(830) 693-4097

NPI assigned

Jun 28, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Make Today Count Inc

  • Physical Therapist
  • Marble Falls, TX
  • NPI 1669699492
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376570770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MEADOWLAKES DR",
            "city": "MEADOWLAKES",
            "state": "TX",
            "postal_code": "786546604",
            "telephone_number": "830-693-0145",
            "fax_number": "830-693-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 N HWY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544360",
            "telephone_number": "830-693-9393",
            "fax_number": "830-693-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGBORN",
        "first_name": "RUSSELL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1084135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Pacheco, CRNA
• Valarie Pagitt
• Peggy Pais, RN, MSN, CNS-BC,APRN
• Carlos Andres Palacio, M.D.
• Alisha Palekar
• Davis M Parks, CRNA
• Emily Parks, CRNA
• Deep J. Patel
• Jennifer Pearson, R.N.
• Jennifer Pehl, PT, ATC

• Physical Therapist in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Physical Therapist in Texas

• 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.