KIMBERLY J RUSSELL (P.T.) – Orthopedic Physical Therapist, NPI 1992718837

KIMBERLY J RUSSELL (P.T.) is a healthcare provider. based in Pacific palisades, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 6220035-2401 (UT). The NPI Number for KIMBERLY J RUSSELL (P.T.) is 1992718837

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY J RUSSELL (P.T.)
NPI
1992718837
Phone
(310) 573-9553
Address
970 MONUMENT STREET
Enumeration Date
14 August 2006
Last Update Date
7 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105739553
Graduation Year
2006 (20 years ago)
PAC ID
4284630617
Group Practice PAC ID
5890141279
Professional Enrollment ID
I20091212000073
Address ID
CA904044203SA1811XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Loading map...

Provider Addresses for KIMBERLY J RUSSELL (P.T.)

  • 970, Monument Street, Pacific Palisades, Los Angeles, Los Angeles County, California, 90272, United States

    SUITE 207

    PACIFIC PALISADES, CA 90272

    Phone: (310) 573-9553

    Fax: (310) 573-9533

    Type: Mailing

  • 135, South Barrington Place, Westgate Heights, Brentwood, Los Angeles, Los Angeles County, California, 90049, United States

    LOS ANGELES, CA 900493305

    Phone: (310) 472-2121

    Fax: (310) 472-4567

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091212000073IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities26834$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13429$0
97140Therapy procedure using manual technique, each 15 minutes4521$0
View full utilization report →

Insurance plans in this area (ZIP 90272)

Loading plans...

Provider's Procedures

KIMBERLY J RUSSELL (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation4743
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes86455
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes125655

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890141279View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for KIMBERLY J RUSSELL (P.T.)?
Save NPI 1992718837 if you need a stable reference for KIMBERLY J RUSSELL (P.T.).
Is KIMBERLY J RUSSELL (P.T.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KIMBERLY J RUSSELL (P.T.)?
The page reflects Orthopedic Physical Therapist for KIMBERLY J RUSSELL (P.T.). Clinical services aligned with this taxonomy classification.
What location shows for KIMBERLY J RUSSELL (P.T.)?
We surface Pacific Palisades, California for KIMBERLY J RUSSELL (P.T.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

ANN M MARRACCINI (P.T.)

Orthopedic Physical Therapist
860, Via de la Paz, Pacific Palisades, Los Angeles, Los Angeles County, California, 90272, United States
NPI: 1205850187

DIEDRA R MANNS (P.T.)

Physical Therapist
970, Monument Street, Pacific Palisades, Los Angeles, Los Angeles County, California, 90272, United States
NPI: 1609922798

JOSEPH JOHN GODGES (D.P.T.)

Orthopedic Physical Therapist
15200 W SUNSET BLVD
NPI: 1083742613

MRS. JULIE ORSI REYNOLDS-GILLESPIE (P.T.)

Orthopedic Physical Therapist
860 VIA DE LA PAZ
NPI: 1114044674

MS. COSETTE T SMITH (P.T.)

Orthopedic Physical Therapist
970, Monument Street, Pacific Palisades, Los Angeles, Los Angeles County, California, 90272, United States
NPI: 1508006925

JERRI LYNN ROBERTSON (P.T.)

Orthopedic Physical Therapist
970, Monument Street, Pacific Palisades, Los Angeles, Los Angeles County, California, 90272, United States
NPI: 1336478783

MR. ERIC SCOTT LEDERHAUS (D.P.T.)

Orthopedic Physical Therapist
68 WILLOW RD
NPI: 1578875423

DR. BROOKE RENEE WINDER (P.T.)

Orthopedic Physical Therapist
5744 E CREEKSIDE AVE UNIT 41
NPI: 1881907657