Active NPI
Karlie Russell
- Physical Therapist
- Bellaire, OH
National Provider Identifier
1578043873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011957
- Practice address
- 3050 Guernsey Street
Suite B
Bellaire, OH 43906 - Phone
- (740) 325-1120
- Fax
- (740) 325-1743
- NPI assigned
- Aug 16, 2018
- 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 | 011957 | OH | Primary |
Addresses
Primary practice location
3050 Guernsey Street
Suite B
Bellaire, OH 43906
Mailing address
PO Box 213
Bellaire, OH 43906
Phone (740) 325-1120
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011957 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Rehab Center, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Bellaire, OH
- NPI 1548502289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1578043873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 213",
"city": "BELLAIRE",
"state": "OH",
"postal_code": "43906",
"telephone_number": "740-325-1120",
"fax_number": "740-325-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 GUERNSEY STREET",
"address_2": "SUITE B",
"city": "BELLAIRE",
"state": "OH",
"postal_code": "43906",
"telephone_number": "740-325-1120",
"fax_number": "740-325-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "KARLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "011957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.