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

Brian Joseph Russon, MSPTATC

Individual provider Physical Therapist · NPI 1295731594

Brian Joseph Russon, MSPTATC is a Physical Therapist in Private Practice in Monroe, Washington. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
29
Licensed in
WA
In the registry since
2005

Practice location Address checks out

14841 179th Ave SE Ste 340
Monroe, WA 98272-1161
Phone: (360) 794-7520
Fax: (360) 794-8947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00007754 (WA)

Record details

NPI number1295731594
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPTATC
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe