SUSY RUSSELL PHYSICAL THERAPY LLC
NPI 1902161672
Clinic/Center - Physical Therapy in Charlottesville, VA
About Susy Russell Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSY RUSSELL PHYSICAL THERAPY LLC (NPI 1902161672) is a healthcare organization registered as a physical therapy in Charlottesville, Virginia and active in the NPI registry since July 2012. The organization lists Susanne Russell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susy Russell Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Susy Russell Physical Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Susy Russell Physical Therapy LLC's NPI number?
The NPI number for Susy Russell Physical Therapy LLC is 1902161672. It was assigned to this organization in the NPPES registry on July 9, 2012.
Where is Susy Russell Physical Therapy LLC located?
Susy Russell Physical Therapy LLC is located at 3040 Berkmar Dr Ste A1, Charlottesville, VA 22901. The listed phone number is (434) 249-9578.
What is Susy Russell Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Susy Russell Physical Therapy LLC enrolled in Medicare?
Yes. Susy Russell Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Susy Russell Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Susy Russell Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Susy Russell Physical Therapy LLC was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Susy Russell Physical Therapy Llc · NPI 1902161672
Physical Therapy organization in Charlottesville, Virginia. Organization record, active in the CMS NPPES registry since July 9, 2012.
## Identity
- **NPI:** 1902161672 (Entity type: Organization)
- **Enumerated:** July 9, 2012
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Susanne Russell, OWNER
## Practice location
- **Address:** 3040 BERKMAR DR STE A1, Charlottesville, VA 22901-1593
- **Phone:** (434) 249-9578
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1902161672) · Data from the CMS NPPES public registry.