Active NPI
Nancy J Russell, MS, PT
- Physical Therapist
- Bonney Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008393
- Practice address
- 10004 204TH Ave E
Ste 3100
Bonney Lake, WA 98391-6539 - Phone
- (253) 863-7510
- Fax
- (253) 863-5970
- NPI assigned
- Aug 18, 2005
- 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 | PT00008393 | WA | Primary |
Addresses
Primary practice location
10004 204TH Ave E
Ste 3100
Bonney Lake, WA 98391-6539
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5872RU | Other | WA | REGENCE BS |
| 157404 | Other | WA | DEPT. OF LABOR AND INDUST |
| 650022436 | Other | WA | R/R MED PC |
| 650022435 | Other | WA | R/R MED KC |
| 8334070 | Medicaid | WA | |
| 8936357 | Other | WA | CRIME VICTIMS |
Other names 1
- Miss Nancy J Ormsbee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10004 204TH Ave E
Suite 3100
Bonney Lake, WA 98391-6540
Phone (253) 987-7509
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
10004 204th Ave E
Ste 3100
Bonney Lake, WA 98391
Phone (253) 863-7510
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 7
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1659363349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 204TH AVE E",
"address_2": "STE 3100",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983916539",
"telephone_number": "253-863-7510",
"fax_number": "253-863-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "5872RU",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR AND INDUST",
"identifier": "157404",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R/R MED PC",
"identifier": "650022436",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R/R MED KC",
"identifier": "650022435",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8334070",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8936357",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "ORMSBEE",
"middle_name": "J",
"prefix": "MISS",
"credential": "MS, PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.