Active NPI
Lanita Kaye Russell, PT,DPT
- Physical Therapist
- Searcy, AR
National Provider Identifier
1841500923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT,DPT 3303
- Practice address
- 400 S Main St Ste 500
Searcy, AR 72143-6848 - Phone
- (501) 278-9904
- Fax
- (501) 278-9906
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | PT,DPT 3303 | AR | Primary |
Addresses
Primary practice location
400 S Main St Ste 500
Searcy, AR 72143-6848
Mailing address
400 S Main St Ste 500
Suite 500
Searcy, AR 72143-6848
Phone (501) 278-9904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183978721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3303 | AR | MD | General Practice Dentistry |
| PT,DPT 3303 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reaper Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1841500923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S MAIN ST STE 500",
"address_2": "SUITE 500",
"city": "SEARCY",
"state": "AR",
"postal_code": "721436848",
"telephone_number": "501-278-9904",
"fax_number": "501-278-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S MAIN ST STE 500",
"city": "SEARCY",
"state": "AR",
"postal_code": "721436848",
"telephone_number": "501-278-9904",
"fax_number": "501-278-9906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "LANITA",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT,DPT 3303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183978721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.