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

Bradley P Russell, DPT

Individual provider Physical Therapist · NPI 1801489828

Bradley P Russell, DPT is a Physical Therapist in Private Practice in Oswego, Illinois. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Illinois, Massachusetts and New Hampshire.

Years since qualifying
6
Licensed in
IL, MA, NH
In the registry since
2021
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4511 Route 71
Oswego, IL 60543-7416
Phone: (630) 554-7815
Fax: (630) 554-4849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4700 N Western Ave Ste 2, Chicago, IL 60625-6999 — (773) 435-9275

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5234 (NH)
Physical Therapist Taxonomy 225100000X · Licence PTL26498 (MA)
Physical Therapist Taxonomy 225100000X · Licence 070.025309 (IL)

Record details

NPI number1801489828
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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