Individual provider · Type 1 NPI

Brylee Russell, PTA

Physical Therapy Assistant · Tuttle, OK

NPI number 1609716877 Active

Practice location

201 W Main St. Serene Pelvic Physical Therapy, Suite 4
Tuttle, OK 73089

Mailing address

460 N Pebble Creek Terrance, Apt 302
Mustang, OK 73064

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4022 (OK)

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 1609716877

Brylee Russell, PTA's National Provider Identifier is 1609716877, issued on Mar 30, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tuttle, OK. The record was last updated on Mar 30, 2026.