Holly Raeann Russ

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1215007 Issued in TX

Practice address

907 S Palestine St
Athens, TX 75751-3612

Phone

(903) 675-0077

Fax

(903) 675-0078

NPI assigned

Nov 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Fuson Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wheelchair Clinic Inc

  • Physical Therapist
  • Amarillo, TX
  • NPI 1265904064
  Medicare reassignment NPD

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1386018901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S PALESTINE ST",
            "address_2": "PO BOX 2028",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513612",
            "telephone_number": "903-675-0077",
            "fax_number": "903-675-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513612",
            "telephone_number": "903-675-0077",
            "fax_number": "903-675-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "HOLLY",
        "middle_name": "RAEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1215007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "FUSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karina Rojas Gomez, DDS
• Jaime Antonio Roman, MD
• Santy Aduca Romaquin
• Ronald D Cates, MD, PA
• Maurie Roos, NP
• Brandi Rutherford
• James Lowell Ryman, M.D.
• Safer House
• Lateisha Sanders-Whitehead, MS, CCC-SLP
• Latoya Sanders

• Physical Therapist in Athens, TX
• Providers in Athens, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.