George Russell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0012394 Issued in CO

Practice address

12961 Lafayette St Unit H
Thornton, CO 80241-3969

Phone

(720) 508-3422

NPI assigned

Apr 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1922493055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 REMUDA LN",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267006",
            "telephone_number": "201-638-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12961 LAFAYETTE ST UNIT H",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413969",
            "telephone_number": "720-508-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GEORGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0012394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Ruehrwein, SLP-CCC
• Roni Ruiz
• Jacob Carl Lewis Rumley, D.O.
• Connie J Rusk, APRN
• Carrie Mae Russell
• Rachel Russell, MSW, LSW
• Taylor Mei Russell, ATC
• Lauren Ruth
• March Ariel Ryan, LCSW
• Katherine Lavender Rye

• Physical Therapist in Thornton, CO
• Providers in Thornton, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.