Russ Physical Therapy LLC
NPI 1184014987ActiveOrganization· Physical Therapist· Bentonville, AR
Physical Therapist in Bentonville, Arkansas, registered in NPPES in January 2015. The authorized official on file is Joe E. Russ, PTA, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1184014987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2015 |
| Last updated in NPPES | Oct 27, 2023 |
| Certified by provider | Oct 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (AR) |
|---|
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