Active NPI
Emily Frances Russell, PT, DPT
- Physical Therapist
- Pawtucket, RI
National Provider Identifier
1891982203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02150
- Practice address
- 111 Brewster St
ND Physical Therapy
Pawtucket, RI 02860-4400 - Phone
- (401) 729-3481
- Fax
- (401) 729-3866
- NPI assigned
- Sep 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22262 | MD | |
| Physical Therapist | 225100000X | 02150 | RI | Primary |
Addresses
Primary practice location
111 Brewster St
ND Physical Therapy
Pawtucket, RI 02860-4400
Mailing address
111 Brewster St
ND Physical Therapy
Pawtucket, RI 02860-4400
Phone (401) 729-3481
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22262 | MD | MD | Internal Medicine Physician |
| 02150 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1891982203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"address_2": "ND PHYSICAL THERAPY",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-3481",
"fax_number": "401-729-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"address_2": "ND PHYSICAL THERAPY",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-3481",
"fax_number": "401-729-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "EMILY",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-29",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22262",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "02150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.