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MICHELE RENAE RUSSELL D.P.T.
NPI 1699343558
Physical Therapist in Lakeside, AZ

Active since June 16, 2021Accepts Medicare Assignment
4830 HIGHWAY 260 STE 105, LAKESIDE, AZ 85929(928) 532-1221 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Jun 16, 2021 (2 updates tracked since 2021).

About Michele Renae Russell D.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELE RENAE RUSSELL D.P.T. (NPI 1699343558) is an individual physical therapist in Lakeside, Arizona, licensed in Arizona (31790) and active in the NPI registry since June 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1699343558
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMICHELE RENAE RUSSELLCredential: D.P.T.
Location Address4830 HIGHWAY 260 STE 105Lakeside, AZ 85929-5851
Mailing AddressPo Box 658Lakeside, AZ 85929-0658 · (928) 242-0821
Phone(928) 532-1221
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2021
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
✔ NPI 1699343558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in AZ · 31790
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4830 HIGHWAY 260 STE 105, Lakeside, AZ 85929
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Other Names 1

Former Name (1)Michele Renae Clark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michele Renae Russell D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42613259
PECOS Enrollment IDI20210726003037

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,919 services163 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
884 services132 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
586 services93 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
575 services126 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
386 services87 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
55 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85929 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK R FLAKE PT
Physical Therapist
4830 HIGHWAY 260 STE 105
LAKESIDE, AZ 85929
Navajo County (928) 532-1221
MARY KATHERINE HEGARTY PT
Physical Therapist
4830 HIGHWAY 260 STE 105
LAKESIDE, AZ 85929
Navajo County (928) 532-1221
KYLE DOUGLAS HOWELL D.P.T
Physical Therapist
4830 HIGHWAY 260 STE 105
LAKESIDE, AZ 85929
Navajo County (928) 532-1221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michele Russell's NPI number?

The NPI number for Michele Russell is 1699343558. It was assigned to this individual provider in the NPPES registry on June 16, 2021. The provider is also known as Michele Renae Clark.

Where is Michele Russell located?

Michele Russell practices at 4830 Highway 260 Ste 105, Lakeside, AZ 85929. The listed phone number is (928) 532-1221.

What is Michele Russell's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Michele Russell enrolled in Medicare?

Yes. Michele Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michele Russell accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Michele Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michele Russell was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.