Julia Marie Russell, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

164.0000286 Issued in VT

Practice address

239 S Union St
Burlington, VT 05401-4886

Phone

(802) 343-7574

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1467038521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91B WEST ST",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041926",
            "telephone_number": "802-343-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S UNION ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014886",
            "telephone_number": "802-343-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VT",
            "license": "164.0000286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST, BODYWORKER, OR TOUCH PROFESSIONAL LICENSE",
            "identifier": "164.0000286",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Rumer, MD
• Kelsey Rumley, DNP, FNP-C
• Steven John Runyan, D.O.
• Megan Estelle Rupert, M.S., SLP
• Jessica C Russell, P.A.
• Margaret Russell, PA
• Margaret Russell, LCMHC
• Jonathan Joseph Russin, M.D.
• Angela Ellen Russo, MD
• Elizabeth Russo, MD

• Massage Therapist in Burlington, VT
• Providers in Burlington, VT by specialty
• Massage Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.