Active NPI
Ali Renee Russell, LMT, CHW
- Massage Therapist
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3592
- Practice address
- 1811 W 2ND St Ste 200
Grand Island, NE 68803-5463 - Phone
- (308) 289-6370
- NPI assigned
- Sep 3, 2018
- Last updated
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3592 | NE | Primary |
Addresses
Primary practice location
1811 W 2ND St Ste 200
Grand Island, NE 68803-5463
Mailing address
1118 W 11TH St
Grand Island, NE 68801-4018
Phone (308) 289-6370
Other practice location 1
302 S Jeffers St
North Platte, NE 69101-5349
Phone (308) 289-6370
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 |
|---|---|---|---|
| 3592 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxwell Massage | Community Health Worker | Current | Accepting new patients |
Locations
114 W 3rd St
Grand Island, NE 68801
1811 W 2nd St
Ste 200
Grand Island, NE 68803
Phone (308) 289-6370
302 S Jeffers St
North Platte, NE 69101
Phone (308) 289-6370
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.
-
dba Ali Renee, LMT
- Massage Therapist
- Grand Island, NE
- NPI 1841850146
Community Health Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1922580380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 W 11TH ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688014018",
"telephone_number": "308-289-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 W 2ND ST STE 200",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688035463",
"telephone_number": "308-289-6370"
}
],
"practiceLocations": [
{
"address_1": "302 S Jeffers St",
"address_purpose": "LOCATION",
"city": "North Platte",
"state": "NE",
"postal_code": "691015349",
"country_code": "US",
"telephone_number": "308-289-6370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "ALI",
"middle_name": "RENEE",
"credential": "LMT, CHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-03",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NE",
"license": "3592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.