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

Carly Russo Whittaker, DPT

Individual provider Physical Therapist · NPI 1316402894

Carly Russo Whittaker, DPT is a Physical Therapist in Private Practice in Dallas, Texas. Qualified in 2018, 8 years ago. Practices with One Rehab, a 23-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
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

2425 Victory Ave Apt 264
Dallas, TX 75219-7720
Phone: (610) 737-8046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1315328 (TX)

Record details

NPI number1316402894
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 8, 2019
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice One Rehab — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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