Individual provider Active NPI

Catherine Elizabeth Russell, PT, DPT

  • Physical Therapist
  • Bolingbrook, IL
National Provider Identifier
1669604385
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031594 Issued in NY
Practice address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone
(855) 692-8478
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT030408 PA
Physical Therapist 225100000X 5501302052 MI
Physical Therapist 225100000X 11270 SC
Physical Therapist 225100000X 19679 MA
Physical Therapist 225100000X 40QA02090500 NJ
Physical Therapist 225100000X PT-2231 WY
Physical Therapist 225100000X 16005-24 WI
Physical Therapist 225100000X 302353 CA
Physical Therapist 225100000X PT32403 FL
Physical Therapist 225100000X 1359878 TX
Physical Therapist 225100000X 070.026554 IL
Physical Therapist 225100000X 031594 NY Primary

Addresses

Primary practice location

790 Remington Blvd
Bolingbrook, IL 60440-4909

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NV, TX, PA, AZ, SC, MA, IL8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20091224000001 NY Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 2 organizations
I20250707001797 NV Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 1 organization
I20250724004262 TX Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 1 organization
I20250728003008 PA Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 2 organizations
I20250815004235 AZ Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 1 organization
I20250829000662 SC Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 2 organizations
I20260224000815 MA Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 1 organization
I20260304002459 IL Practitioner - Physical Therapist in Private Practice 4981744893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

14 McGrath Hwy
Unit 5
Somerville, MA 02143-4505
Phone (617) 284-9418

200 Patewood Dr
Suite C250
Greenville, SC 29615-3593
Phone (864) 454-0952

3082 Caton Farm Rd
Joliet, IL 60435-1455
Phone (815) 577-9936

3155 W Craig Rd
Suite 140
North Las Vegas, NV 89032-0783
Phone (702) 639-2333

4015 Lemmon Ave
Dallas, TX 75219-3737
Phone (469) 872-7461

5110 S Rural Rd
Suite 104
Tempe, AZ 85282-7289
Phone (480) 629-5549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19679MAMDDentist
302353CAMDPhysical Therapist
PT32403FLMDPhysical Therapist
070.026554ILMDPhysical Therapist
5501302052MIMDPhysical Therapist
40QA02090500NJMDPhysical Therapist
PT030408PAMDPhysical Therapist
16005-24WIMDPhysical Therapist
PT-2231WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jul 23, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Jun 10, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 17, 2025 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jun 10, 2025 Accepting new patients
Affinity Rehabilitation LLP CurrentSince Jun 6, 2024 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jun 17, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Merion Square Road Medical PC Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients
Ideal Rehabilitation LLC PastSince Jul 23, 2025 Accepting new patients

Locations (25 of 31)

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33299 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

3082 Caton Farm Rd
Joliet, IL 60435
Phone (630) 783-2001

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

14 McGrath Hwy
Unit 5
Somerville, MA 02143
Phone (617) 284-9418

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

3155 W Craig Rd
Ste 140
North Las Vegas, NV 89032
Phone (702) 639-2333

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

6059 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 208-2215

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

200 Patewood Dr
#C250
Greenville, SC 29615

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1669604385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "855-692-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030408",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302052",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11270",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19679",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02090500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2231",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16005-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302353",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32403",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1359878",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026554",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.