Russ Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2874 Issued in AR

Legal business name

RUSS PHYSICAL THERAPY

Practice address

1002 Westpark Dr
Ste 6
Bentonville, AR 72712-4173

Phone

(479) 250-4014

Fax

(479) 250-4015

NPI assigned

Jun 30, 2014

Organization subpart

No

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

Authorized official

Name

Rhonda B Russ, PT

Title

Physical Therapist

Phone

(479) 250-4014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1669887410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WESTPARK DR",
            "address_2": "STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124173",
            "telephone_number": "479-250-4014",
            "fax_number": "479-250-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WESTPARK DR",
            "address_2": "STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124173",
            "telephone_number": "479-250-4014",
            "fax_number": "479-250-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "479-250-4014",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Rucker, LPC
• Kathryn Rudder
• Brenda Louise Rude, MD
• Meagan Marie Ruffing, LPC, LAMFT
• Justin T Rusinowski
• Russ Physical Therapy LLC
• Joe Russ
• Rhonda Beth Russ, PT
• Alex W Russell, PT, DPT
• Georgia Anna Russow

• Physical Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.