Russ Physical Therapy Llc

LBN: Russ Physical Therapy Llc
Russ Physical Therapy Llc is an health care organization with primary practice located at 2070 Mckenzie Rd Ste A, Springdale AR 72762-0747. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Russ Physical Therapy Llc can be contacted via phone (479) 250-4014, or through Russ, Joe via phone (479) 426-6334.

Contact Information

Primary practice address
2070 Mckenzie Rd Ste A Springdale AR 72762-0747
Phone: (479) 250-4014
Fax: (479) 250-4015
Website:
Map and Directions
Authorized official contact:
Name: Russ, Joe
Phone: (479) 426-6334

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT2874 Arkansas

Profile Details

NPI number 1063868164
LBN Legal business name Russ Physical Therapy Llc
DBA Doing business as
Authorized official Russ, Joe
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2016
Last updated Oct 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063868164 NPPES
Arkansas MEDICAID 158462721

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