Susanne Marie Russell, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003603 Issued in VA

Practice address

3450 Seminole TRL Ste 105
Charlottesville, VA 22911-2210

Phone

(434) 974-7955

NPI assigned

Apr 18, 2007

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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Susy Russell Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Charlottesville, VA
  • NPI 1902161672
  Medicare reassignment Authorized official
• The Charleston Center, Inc

  • Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1427150630

  Physical Therapist

  NPD
• Heppner P.C.

  • Chiropractor
  • Charlottesville, VA
  • NPI 1447594643

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508083155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 MOLLIFIELD LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117211",
            "telephone_number": "434-973-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 SEMINOLE TRL STE 105",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229112210",
            "telephone_number": "434-974-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SUSANNE",
        "middle_name": "MARIE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine I Russell, APMHNP
• Jennifer Marie Russell
• Mark A. Russell
• Nastassya Russell, FNP-C
• Ryan Pierce Russell
• Daniel P Russo, MD
• Rudolph B. Rustin III, M.D.
• Corina A Rusu, MD
• Ruth M Ball PHD LLC
• Laura Ruth, LCSW

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• 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.