MR. WILLIAM JOSEPH JR. RUSSELL (MPT) – Orthopedic Physical Therapist, NPI 1477746857

MR. WILLIAM JOSEPH JR. RUSSELL (MPT) is a healthcare provider. based in Tacoma, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. PT00008063 (WA). The NPI Number for MR. WILLIAM JOSEPH JR. RUSSELL (MPT) is 1477746857

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM JOSEPH JR. RUSSELL (MPT)
NPI
1477746857
Phone
(253) 531-8595
Address
12001 PACIFIC AVE S STE 101
Enumeration Date
20 August 2007
Last Update Date
9 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535315645
Graduation Year
1999 (27 years ago)
PAC ID
0446417356
Group Practice PAC ID
2668540337
Professional Enrollment ID
I20120206000025
Address ID
WA984444549TA223XXSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MR. WILLIAM JOSEPH JR. RUSSELL (MPT)

  • Pacific Avenue South, J & C Plaza, Hillsdale, Tacoma, Pierce County, Washington, 98444-6058, United States

    TACOMA, WA 984445101

    Phone: (253) 531-8595

    Fax: (253) 531-6607

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2012-02-06

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
I20120206000025IPhysical Therapist In Private PracticeWATBD

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 activities1,20353$0
97161Evaluation for physical therapy, typically 20 minutes3433$0
View full utilization report →

Insurance plans in this area (ZIP 98444)

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Provider's Procedures

MR. WILLIAM JOSEPH JR. RUSSELL (MPT) 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 THERAPYWA97001Physical therapy evaluation4443

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: 2668540337View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Where can patients find MR. WILLIAM JOSEPH JR. RUSSELL (MPT)'s NPI?
You can confirm MR. WILLIAM JOSEPH JR. RUSSELL (MPT) with NPI 1477746857; it appears in the national provider directory.
Is MR. WILLIAM JOSEPH JR. RUSSELL (MPT) active in the national directory?
MR. WILLIAM JOSEPH JR. RUSSELL (MPT)'s public NPI profile is in an active state.
What field does MR. WILLIAM JOSEPH JR. RUSSELL (MPT) work in?
You can think of MR. WILLIAM JOSEPH JR. RUSSELL (MPT) as practicing within Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MR. WILLIAM JOSEPH JR. RUSSELL (MPT) practice in Washington?
You will see Tacoma, Washington on file for MR. WILLIAM JOSEPH JR. RUSSELL (MPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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