Active NPI
Christine M Russell, PT
- Physical Therapist
- North East, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-015047-L
- Practice address
- 10680 W Main Rd
North East, PA 16428-2226 - Phone
- (814) 725-4808
- Fax
- (814) 725-5002
- NPI assigned
- Jan 10, 2006
- Last updated
- Jan 21, 2020
- Sex
- Female
- Sole proprietor
- No
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-015047-L | PA | Primary |
Addresses
Primary practice location
10680 W Main Rd
North East, PA 16428-2226
Mailing address
404 Baker Ave
Erie, PA 16511-2304
Phone (814) 824-4346
Other names 1
- Christine Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-015047-L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East Inc | Current | Accepting new patients | |
| Novacare Outpatient Rehabilitation East, Inc. | Physical Therapist | Current | Accepting new patients |
| Novacare Outpatient Rehabilitation East, Inc. | Current | Accepting new patients | |
| Cambridge Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2850 E 38th St
Erie, PA 16510
Phone (814) 899-1023
352 Railroad St
Ligonier, PA 15658
Phone (724) 238-3301
1012 Water St
Meadville, PA 16335
Phone (814) 333-2001
10680 W Main Rd
North East, PA 16428
Phone (814) 490-6456
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Ligonier, PA
- NPI 1487010583
Physical Therapist
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Meadville, PA
- NPI 1841913126
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
-
- Physical Therapist
- Cambridge, OH
- NPI 1154438174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1891774790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 BAKER AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165112304",
"telephone_number": "814-824-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10680 W MAIN RD",
"city": "NORTH EAST",
"state": "PA",
"postal_code": "164282226",
"telephone_number": "814-725-4808",
"fax_number": "814-725-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-015047-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "RUSSELL",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North East, PA
- Regional Associates in Behavior Analysis, LLC
- Regional Health Services Inc (Vineyard Primary Care)
- Regional Health Services, Inc. (Vineyard Primary Care)
- Abigail Erin Reilly-Eckstrom, MA CCC-SLP
- Richard A Rose
- Brianna Jean Scalise
- Alexandra Sceiford
- Richard Lee Schaffnit, D.C.
- Yvonne Meehl Schnelzer
- Kaylee Schwenk, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.