MRS. HOLLY ROXANNE RUSSELL DPT NPI 1689673410
Physical Therapist in Marion, IL
NPI Profile for MRS. HOLLY ROXANNE RUSSELL DPT
Holly Russell is a provider established in Marion, Illinois and her medical specialization is physical therapist. The NPI number of Holly Russell is 1689673410 and was assigned on July 2005. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and her NPI record was last updated 15 years ago.
Holly Russell is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1689673410 |
| Provider Name | MRS. HOLLY ROXANNE RUSSELL DPT |
| Provider Location Address | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 |
| Provider Mailing Address | 720 COUNTY ROAD 1435 N CARMI, IL 62821 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-14-2005 |
| Last Update Date | 07-08-2007 |
Primary Taxonomy
| Taxonomy Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License State | IL |
| Taxonomy Description | Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
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Business Address
MRS. HOLLY ROXANNE RUSSELL DPT
2907 WILLIAMSON COUNTY PKWY
MARION, IL
ZIP 62959
Phone: (618) 998-9894
Fax: (618) 998-9993
Mailing Address
MRS. HOLLY ROXANNE RUSSELL DPT
720 COUNTY ROAD 1435 N
CARMI, IL
ZIP 62821
Phone: (618) 382-3986
Fax: (618) 382-3986
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 606640 | MEDICARE ID-TYPE UNSPECIFIED (04) |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 6 | 7 | 3 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 7 | 6 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 7 + 6 + 4 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1689673410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548268774 | PROFESSIONAL THERAPEUTIC GROUP, LLC Organization | Physical Therapist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1740390517 | MRS. NATALIE JO VAUGHN COTA/L Individual | Occupational Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1164501656 | MRS. MISTY DAWN QUINT MS CCC SLP Individual | Speech-Language Pathologist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 993-5042 |
| 1487716874 | MRS. NICOL RUTH HIMELICK PTA Individual | Physical Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARRION, IL 62959 (618) 998-9894 |
| 1215070859 | HEATHER KING MS CCC-SLP Individual | Speech-Language Pathologist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1205952363 | THOMAS ALLEN CLAY P.T.A Individual | Physical Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1336343466 | BRIANNA HOWELL COTAL Individual | Occupational Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1144416736 | JOYNER THERAPY SERVICES Organization | Clinic/Center (Physical Therapy) | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1609065291 | ROBERT WAYNE ROBINSON PT Individual | Physical Therapist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1780848028 | MS. MAEGAN LEA WILBANKS COTA/L Individual | Community Health Worker | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1336304807 | SAMANTHA KAY LAMKE PTA Individual | Community Health Worker | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1205068814 | KASSI LEE HANCOCK Individual | Physical Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1790019057 | MR. STEVEN RAY WRIGHT PT Individual | Physical Therapist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1568790822 | MRS. VALERIE ARLENE WHEELER MASSAGE THERAPIST Individual | Massage Therapist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 683-2728 |
| 1811225881 | MISS TRACEY LYNN HOTZE AAS Individual | Physical Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1407186919 | ELIZABETH PRZYGODA PTA Individual | Physical Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1215269998 | DEXTER ALCOY PT Individual | Physical Therapist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1760714364 | MR. TYSON BRADLEY PTA Individual | Physical Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1952633588 | MRS. LISA DAWN MCROY COTA/L Individual | Occupational Therapy Assistant | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
| 1205151206 | ERIN S CONNELLY S.L.P. Individual | Speech-Language Pathologist | 2907 WILLIAMSON COUNTY PKWY MARION, IL 62959 (618) 998-9894 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Mrs. Holly Roxanne Russell Dpt is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.