Kevin Russell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8151 Issued in NC

Practice address

68 Hospital Rd
Sylva, NC 28779-2722

Phone

(828) 586-7235

NPI assigned

Jul 17, 2023

Sex

Male

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1891474755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FRANCIS ASBURY RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287858922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HOSPITAL RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792722",
            "telephone_number": "828-586-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Marie Rosenkrans, PHARMD
• Natalie A Roth, MA
• Nathan Paul Roth, PHD
• Olena Grytsyk Rowland, NP
• Joseph Blackburn Ruebel III, PSYD, HSP-P
• Stephen Reed Russell, PH.D.
• Salyer Hearing Center, PLLC
• Gregory W Salyer, AU,D.,C.C.C.
• Rollande Paquin Sampson, LCMHC, NCC
• Mary Baldwin Sanders, RD, LDN

• Physical Therapy Assistant in Sylva, NC
• Providers in Sylva, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.