Individual provider · Type 1 NPI

Brandon Russell

Physical Therapy Assistant · Toms River, NJ

NPI number 1700791050 Active

Practice location

1351 Old Freehold Rd
Toms River, NJ 08753-2775

Mailing address

14206 W Remington Ct
Wichita, KS 67235-7533

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X14-04185 (KS)

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 1700791050

Brandon Russell's National Provider Identifier is 1700791050, issued on Aug 18, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Toms River, NJ. The record was last updated on Aug 18, 2026.