Russell Francis Byrne III, MPT

Key facts

NPI

1619902590

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Physical Therapist 2251P0200X

License

03157 (IA)

Practice address

1377 11TH St NW
Clinton, IA 52732-5068

Phone

(563) 241-4230

Fax

(563) 241-4233

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619902590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N FILLMORE ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041832",
            "telephone_number": "563-514-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 11TH ST NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325068",
            "telephone_number": "563-241-4230",
            "fax_number": "563-241-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "RUSSELL",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IA",
            "license": "03157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

• Burkert Chiropractic Center
• Louie L Burkert, DC
• Mary Burmeister, DPT
• Ashley Michelle Byrd, PHARMD
• Catherine Jane Byrne, MPT
• C R Pharmacy Service Inc
• Cadogan Chiropractic, PC
• Brian Charles Cadogan, D.C.
• Ashley Renee Caes, ARNP, FNP-C
• Nicole Marie Cain

All providers in Clinton, IA · Pediatric Physical Therapist in Iowa