Samantha Jordan Russell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010471 Issued in OH

Practice address

4320 Bridgetown Rd
Cincinnati, OH 45211-4428

Phone

(513) 574-4550

NPI assigned

Apr 24, 2023

Sex

Female

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1902594492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 PRAYVIEW CT",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408721",
            "telephone_number": "513-649-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452114428",
            "telephone_number": "513-574-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SAMANTHA",
        "middle_name": "JORDAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "010471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kristine Russell, DO
• Kimberly Russell, MD
• Kristina M Russell, CRNA
• Nancy Ellen Russell, CNP
• Regina Ann Russell
• Shelia Kaye Russell
• Syreeta Russell, LPN
• Taylor L Russell, APRN
• Victoria Ann Russell
• Katherine Russin-Denoma, LCDCIII

• Physical Therapy Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.