Alex Russell (NPI# 1225698210, PAC ID# 4082046321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225698210 |
| PAC ID by PECOS | 4082046321 |
| Professional Enrollment ID | I20191107001347 |
| Full Name | Alex Russell |
| Organization Legal Name | SPORTS REHABILITATION SPECIALISTS, INC |
| Address |
1901 Cooper St Fort Worth TX 76104-2546 |
| Phone Number | 8178778977 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1759337744 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1901 Cooper St, Fort Worth, TX 76104-2546 | 8178778977 | SPORTS REHABILITATION SPECIALISTS, INC |
| Organization Legal Name | SPORTS REHABILITATION SPECIALISTS, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila M Pickrel | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Rupal A Panchal | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Merry A Frey | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Kara Looten | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Street Address |
1901 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-2546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila M Pickrel | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Rupal A Panchal | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Merry A Frey | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Kara Looten | Physical Therapy | Sports Rehabilitation Specialists, Inc | 1901 Cooper St, Fort Worth, TX 76104-2546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FORT WORTH + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.