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Active NPI 1114083300 Individual Practitioner Female Practitioner

Dr. Ellery T. Russian , DPT

Physical Therapist • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ellery Russian, DPT is a certified Physical Therapist practicing in Seattle, WA. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Russian delivers high-quality medical care to the local community at 1959 NE PACIFIC ST.

Dr. Russian is affiliated with Equilibrium Physical Therapy, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific St
Box 356490

Seattle, WA 981950001

Telephone 2065984830
Fax 2065984897
Associated Practice Facility / Clinic
🏢 University Of Washington Facility NPI 1326002049

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Seattle, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +8.7 yrs vs City Avg
City Avg: 12.3 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
1214 Specialists

Practicing in Seattle, WA (7580 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
15.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russian (21 Years) 21 Yrs
Seattle Specialty Average (12.3 Years) 12.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
686 72 $43.94 $33.28
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
450 40 $40.60 $24.27
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
424 68 $42.89 $28.45
97161 Evaluation of physical therapy, typically 20 minutes
57 57 $107.79 $98.64
95992 Repositioning maneuvers for treatment of vertigo, per day
27 20 $43.64 $42.94
97164 Re-evaluation for physical therapy, typically 20 minutes
21 17 $68.79 $67.69

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WA PT00009931

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Regence Blue Shield
69744U (WA)

Hospital & Practice Group Affiliations

Equilibrium Physical Therapy, Llc

261 E 78th St, New York, NY 100751216

Phone: 2124725820

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Dodge , MS, OTR, L

Occupational Therapist

NPI 1003074949

Master of Science, Occupational Therapist Registered, L

Lisa Hegerberg , PT

Physical Therapist

NPI 1003983438

Physical Therapist

Natalie Hamrick , OTR, L

Occupational Therapist

NPI 1023125309

Occupational Therapist Registered, L

Tracey Cosgrove , PT

Physical Therapist

NPI 1023185576

Physical Therapist

Juli Rosenzweig , MS, CCC-SLP

Speech-Language Pathologist

NPI 1053334573

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Lynn Farrier , MCSD, CCC-SLP

Speech-Language Pathologist

NPI 1063432839

MCSD, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 05, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2007

Registered at 1959 NE PACIFIC ST, BOX 356490, SEATTLE, WA 981950001 (Tel: 2065984830)

📍
Updated Business Mailing Address September 05, 2007

Registered at PO BOX 24366, SEATTLE, WA 981240366 (Tel: 2065980502)

👤
Provider Name / Credentials Updated September 05, 2007

Recorded as ELLERY RUSSIAN, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2007

Physical Therapist (License #PT00009931 in WA)

🟢
Initial NPI Registration & Enumeration December 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114083300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2006
Last Update: September 05, 2007
Sole Proprietor: No

Mailing Address

Po Box 24366

Seattle, WA 981240366

Phone: 2065980502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.