RUSSELL OVERY (NPI# 1407027907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407027907 |
| Entity Type | Individual |
| Full Name | RUSSELL OVERY |
| Credential | DPT |
| Practice Address |
311 Mapleton Ave Boulder CO 80304-3979 |
| Practice Telephone | 3035445700 |
| Practice Fax Number | 3035445710 |
| Mailing Telephone | 3035445700 |
| Mailing Fax Number | 3035445710 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
8604 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
311 MAPLETON AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194707745 | Andrew L Pruitt | Physician Assistant | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2005-11-18 |
| 1225425275 | Crystal Delker | Occupational Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2015-04-16 |
| 1972999886 | Ana Antonetti | Occupational Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2015-04-08 |
| 1457755035 | Shannon Aberton | Specialist/Technologist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2014-10-10 |
| 1457753683 | Denise Knutson | Specialist/Technologist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2014-09-18 |
| 1124457304 | Fatina Hindi | Counselor | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-11-07 |
| 1669801296 | Sonja Stilp, M.d., P.C. | Pain Medicine | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-11-04 |
| 1831523984 | Ruth Stephanie Waller | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-08-26 |
| 1245662949 | Kristine Nichole Rabin | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-08-05 |
| 1568809291 | Suzanne Segalowitz | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073757035 | Mark Plaatjes | Physical Therapist | 2775 Pearl St Ste 201, Boulder, CO 80302-3811 | 2009-04-21 |
| 1750996559 | Kathryn Reid Martin | Physical Therapist | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2020-09-09 |
| 1649764101 | Candace Cox | Physical Therapist | 3550 Frontier Ave Ste D, Boulder, CO 80301-2430 | 2018-06-19 |
| 1669880837 | Pawel Bronkowski | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309 | 2014-07-31 |
| 1184964645 | Brian P Briggs | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-02-21 |
| 1043481542 | Catherine A Fraser | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-12 |
| 1942470679 | Larry Meyer | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1093985673 | Paul Birchard | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1487824066 | Toni Geer | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1568632149 | Jeffrey A. Fleming | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.