Individual provider · Type 1 NPI

Russell Ewbank

Physical Therapy Assistant · Brawley, CA

NPI number 1992683684 Active

Practice location

409 W Main St
Brawley, CA 92227-2244

Mailing address

1134 S 8th St
El Centro, CA 92243-3968

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X52121 (CA)

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 1992683684

Russell Ewbank's National Provider Identifier is 1992683684, issued on Aug 22, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Brawley, CA. The record was last updated on Aug 22, 2025.