Individual provider Active NPI

Linnea Russell, DPT

  • Physical Therapist
  • Logan, UT
National Provider Identifier
1902591548
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
131857552401 Issued in UT
Practice address
1655 N 200 E Ste 2
Logan, UT 84341-1944
Phone
(435) 753-1844
Fax
(435) 753-2986
NPI assigned
Apr 10, 2023
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 131857552401 UT Primary

Addresses

Primary practice location

1655 N 200 E Ste 2
Logan, UT 84341-1944

Mailing address

1655 N 200 E Ste 2
Logan, UT 84341-1944
Phone (435) 753-1844

Other practice location 1

2380 N 400 E
North Logan, UT 84341-6000
Phone (435) 713-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Quality
86.53
Improvement activities
40
Cost
67.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131857552401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Division - CVH, LLC PastSince Apr 16, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1902591548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N 200 E STE 2",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411944",
            "telephone_number": "435-753-1844",
            "fax_number": "435-753-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N 200 E STE 2",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411944",
            "telephone_number": "435-753-1844",
            "fax_number": "435-753-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 N 400 E",
            "address_purpose": "LOCATION",
            "city": "North Logan",
            "state": "UT",
            "postal_code": "843416000",
            "country_code": "US",
            "telephone_number": "435-713-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LINNEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "131857552401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.