Active NPI
Rhonda Beth Russ, PT
- Physical Therapist
- Bentonville, AR
National Provider Identifier
1972556280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2874
- Practice address
- 1002 Westpark Dr
Suite 6
Bentonville, AR 72712-4173 - Phone
- (479) 250-4014
- Fax
- (479) 250-4015
- NPI assigned
- May 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2874 | AR | Primary |
Addresses
Primary practice location
1002 Westpark Dr
Suite 6
Bentonville, AR 72712-4173
Mailing address
1002 Westpark Dr
Suite 6
Bentonville, AR 72712-4173
Phone (479) 250-4014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Westpark Dr
Suite 6
Bentonville, AR 72712-4283
Phone (479) 250-4014
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2874 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russ Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Russ Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1002 Westpark Dr
Ste 6
Bentonville, AR 72712
Phone (479) 250-4014
2070 McKenzie Rd
Ste A
Springdale, AR 72762
Phone 4792504014 ext. 2
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bentonville, AR
- NPI 1184014987
-
- Physical Therapist
- Springdale, AR
- NPI 1063868164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1972556280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 WESTPARK DR",
"address_2": "SUITE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124173",
"telephone_number": "479-250-4014",
"fax_number": "479-250-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 WESTPARK DR",
"address_2": "SUITE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124173",
"telephone_number": "479-250-4014",
"fax_number": "479-250-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "RHONDA",
"middle_name": "BETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.