Individual provider · Type 1 NPI

Jan Renee Russell, PTA

Physical Therapy Assistant · Carlisle, PA

NPI number 1083672588 Active

Practice location

419 Village Dr, Ste 3
Carlisle, PA 17013

Call (717) 240-0330 Map

Fax (717) 240-0233

Mailing address

433 Arch Street
Carlisle, PA 17013

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE000975L (PA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083672588

Jan Renee Russell, PTA's National Provider Identifier is 1083672588, issued on May 3, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Carlisle, PA. The record was last updated on Jul 13, 2026.