Sarah Russ, PT

Individual provider Active NPI Physical Therapist · John Day, OR

NPI 1992812754 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992812754
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
3948 (OR)
Practice address
170 Ford Rd
John Day, OR 97845
Phone
(541) 575-1311
Fax
(541) 575-1255
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3948ORMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3948 OR Yes

Addresses

Primary practice location

170 Ford Rd
John Day, OR 97845

Mailing address

PO Box 623
John Day, OR 97845
Phone (541) 575-4157

Other providers in John Day, OR

All providers in John Day, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.