Ashley Russell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010127 Issued in PA

Practice address

1267 South Hill Road
Erie, PA 16509

Phone

(814) 864-4087

Fax

(814) 868-0514

NPI assigned

Jul 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1790191617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 S HILL RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094831",
            "telephone_number": "814-864-4087",
            "fax_number": "814-868-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 SOUTH HILL ROAD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16509",
            "telephone_number": "814-864-4087",
            "fax_number": "814-868-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "010127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Rupp
• Lynn Marie Rupp, PT
• Melissa Ann Rupp, MSLP-CCC
• Craig Rush, D.O.
• Sheryl Ann Russ, D.O.
• Claudia Russell, OTR
• Leslie Anne Russell
• Melissa Ann Russiano, L.C.S.W.
• Mary Bertha Russo-Colt, DO
• David Scott Russo

• Physical Therapy Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.