Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Russell, PT

Individual provider Physical Therapist · NPI 1891371167

Andrew Russell, PT is a Physical Therapist in Sebastopol, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8180 Stich Ln
Sebastopol, CA 95472-3153
Phone: (510) 590-8417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1891371167
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 18, 2021
Last updated in NPPESDecember 28, 2021
Certification dateMarch 18, 2021
Mailing address8180 Stich Ln, Sebastopol, CA 95472-3153

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