Individual provider Active NPI

Rhonda Beth Russ, PT

  • Physical Therapist
  • Bentonville, AR
National Provider Identifier
1972556280
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2874 Issued in AR
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

Updated by the provider on May 5, 2016

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 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

Enrollment IDStateProvider typePAC IDDetails
I20060307000147 AR Practitioner - Physical Therapist in Private Practice 0345271466 Reassigns benefits to 1 organization
Practice locations: Bentonville, AR; Springdale, AR

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
Russ Physical Therapy LLCGroup PAC ID 2466772447, 4 clinicians

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

LicenseStateTypeSpecialty
PT2874ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Russ Physical Therapy LLC Physical Therapist CurrentSince Feb 23, 2015 Accepting new patients
Russ Physical Therapy LLC Physical Therapist CurrentSince May 11, 2016 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.

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.

Verify at the official NPI Registry.