SUSY RUSSELL PHYSICAL THERAPY LLC (NPI# 1902161672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902161672 |
| Entity Type | Organization |
| Organization Name | SUSY RUSSELL PHYSICAL THERAPY LLC |
| Practice Address |
3040 Berkmar Dr Ste A1 Charlottesville VA 22901-1593 |
| Practice Telephone | 4342499578 |
| Mailing Telephone | 4342499578 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | SUSANNE RUSSELL (OWNER) |
| Authorized Official Telephone | 4342499578 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305003603 | VA | Ambulatory Health Care Facilities |
| Street Address |
3040 BERKMAR DR STE A1 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089941 | Laura Laffond | Physical Therapist | 3040 Berkmar Dr Ste A1, Charlottesville, VA 22901-1593 | 2006-03-31 |
| 1124420898 | A. Helena Lindholm | Physical Therapist | 3040 Berkmar Dr Ste A1, Charlottesville, VA 22901-1593 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1841839305 | University of Virginia Physicians Group | Clinic/Center | 545 Ray C Hunt Dr Ste 2100, Charlottesville, VA 22903-2981 | 2020-01-02 |
| 1457806994 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 250 Merchant Walk Sq, Suite 1103, Charlottesville, VA 22902-6511 | 2016-08-24 |
| 1427429703 | Pt Plus At Heritage Inn, LLC | Clinic/Center | 220 S Pantops Dr, Charlottesville, VA 22911-8674 | 2015-10-13 |
| 1144843079 | Women In Motion Physical Therapy and Wellness | Clinic/Center | 1747 Allied St Ste I, Charlottesville, VA 22903-5358 | 2020-05-27 |
| 1205475449 | University of Virginia Physicians Group | Clinic/Center | 515 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2020-01-06 |
| 1649742016 | Drayer Physical Therapy Virginia, LLC | Clinic/Center | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901-8319 | 2018-12-26 |
| 1578058632 | Charlottesville Pt Plus, LLC | Clinic/Center | 1924 Arlington Blvd Ste 100, Charlottesville, VA 22903-1533 | 2018-06-29 |
| 1134446644 | Timothy Patrick Moran | Clinic/Center | 500 Greenbrier Dr, Charlottesville, VA 22901-1682 | 2010-04-23 |
| 1073709036 | Encompass Therapy, LLC | Clinic/Center | 4416 Ivy Commons, Charlottesville, VA 22903-7123 | 2007-09-24 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on SUSY RUSSELL PHYSICAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.