Russell Taylor Farnsworth, DPT
NPI 1528503083ActiveIndividual· Physical Therapist· Chubbuck, ID
Physical Therapist (DPT) in Chubbuck, Idaho, licensed in WA, with an NPI issued in December 2016.
Overview
| NPI | 1528503083 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Dec 19, 2016 |
| Last updated in NPPES | May 11, 2022 |
| Certified by provider | May 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT60684082 | WA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Chubbuck
- 1215204862
- 1144504812
- 1396374146
- 1427572957
- 1629146857
- 1558912998
- 1508605874
- 1407649551
- 1750215661
- 1871756742
- 1215088059
- 1124639653