Individual provider Active NPI

Russell J. Case, PT

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1780667261
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4289 Issued in OR
Practice address
2113 Vanishing TRL
Edmond, OK 73013-2756
Phone
(405) 285-8477
Fax
(405) 285-8499
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4289 OR Primary

Addresses

Primary practice location

2113 Vanishing TRL
Edmond, OK 73013-2756

Mailing address

1410 Fretz Dr
Edmond, OK 73003-5782
Phone (405) 285-8477

Other identifiers 1

IdentifierTypeStateIssuer
299423MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506002150 MT Practitioner - Physical Therapist in Private Practice 7517926736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair Investments IncGroup PAC ID 9234161035, 20 clinicians

Practice addresses (Care Compare)

1429 38TH St W
Unit 2
Billings, MT 59102-7525
Phone (406) 371-6209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4073OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Investments Inc Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Northwest Primary Care Group, PC Physical Therapist Past Accepting new patients

Locations

1595 Grand Ave
Ste 265
Billings, MT 59102
Phone (406) 237-5050

1541 Centennial Ct
Casper, WY 82609
Phone 30723539104151

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1780667261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FRETZ DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035782",
            "telephone_number": "405-285-8477",
            "fax_number": "405-285-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 VANISHING TRL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132756",
            "telephone_number": "405-285-8477",
            "fax_number": "405-285-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "RUSSELL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299423",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.