Kimberly J Russell, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

35709 Issued in CA

Practice address

135 S Barrington PL
Los Angeles, CA 90049-3305

Phone

(310) 472-2121

Fax

(310) 472-4567

NPI assigned

Aug 14, 2006

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cypress Physical Therapy Center IncGroup PAC ID 5890141279, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cypress Physical Therapy Center, Inc.

  • Orthopedic Physical Therapist
  • Pacific Palisades, CA
  • NPI 1831977230
  Medicare reassignment Care Compare group NPD Authorized official
• Feld Care Therapy Inc

  dba FeldCare Connects

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1770069338
  Medicare reassignment NPD
• Ocean Physical Therapy & Wellness

  • Physical Therapist
  • Pacific Palisades, CA
  • NPI 1700052503
  NPD (past)
• Feld Care Therapy Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1134075864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1992718837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT STREET",
            "address_2": "SUITE 207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BARRINGTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493305",
            "telephone_number": "310-472-2121",
            "fax_number": "310-472-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6220035-2401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "35709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Russell, M.D.
• Elizabeth Jane Russell, MA
• Glen Kenneth Russell, LVN
• Jannell Chakakhan Russell
• Jennifer Russell, A-G NP
• Marcia McGory Russell, MD
• Marie Russell
• Matthew Russell, PSY.D.
• Michael Cody Russell
• Michael Hughes Russell, MD

• Orthopedic Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.